Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 15470 | TN |
NPI | 1003111071 |
---|---|
Provider Name | Gold Nwokochah |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-3025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2011 |
Last Update Date | 30/10/2020 |