Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 183218 | TN |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 22983 | TN |
NPI | 1003331208 |
---|---|
Provider Name | Dr. Samantha Elizabeth Person-Aldridge |
First Address | Arlington, TN 38002-0363 |
Second Address | Bartlett, TN 38134-2881 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2017 |
Last Update Date | 28/09/2021 |