Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN000127297 | TN |
NPI | 1003203696 |
---|---|
Provider Name | Deborah Mccaghren Taber |
First Address | Nashville, TN 37215 |
Second Address | Nashville, TN 37215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2015 |
Last Update Date | 21/04/2015 |