Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 24861 | TN |
NPI | 1013400571 |
---|---|
Provider Name | Christine Matthews |
First Address | Nashville, TN 37204-2235 |
Second Address | Nashville, TN 37204-2235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2018 |
Last Update Date | 03/10/2018 |