Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 20238 | TN |
NPI | 1083090682 |
---|---|
Provider Name | Brittany Hill Slatton |
First Address | Crossville, TN 38555-1915 |
Second Address | Crossville, TN 38555-1915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2015 |
Last Update Date | 23/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q028031 | (05) | TN |