Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APN0000015236 | TN |
NPI | 1003110016 |
---|---|
Provider Name | Aaron Wesley Scott |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-2838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2011 |
Last Update Date | 10/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4321184 | BLUR CROSS BLUE SHIELD (01) | TN |