Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APN0000029165 | TN |
N | 363LA2200X | Nurse Practitioner - Adult Health | APN0000029165 | TN |
N | 363LG0600X | Nurse Practitioner - Gerontology | APN0000029165 | TN |
N | 363LP2300X | Nurse Practitioner - Primary Care | APN0000029165 | TN |
NPI | 1083293914 |
---|---|
Provider Name | Anna Taylor Dodd |
First Address | Nashville, TN 37216-4025 |
Second Address | Nashville, TN 37203-1661 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2021 |
Last Update Date | 27/01/2022 |