Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 21372 | TN |
N | 363LG0600X | Nurse Practitioner - Gerontology | 21372 | TN |
Y | 363LW0102X | Nurse Practitioner - Women's Health | 21372 | TN |
NPI | 1073068243 |
---|---|
Provider Name | Lena Mcmillan |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-6844 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2016 |
Last Update Date | 24/11/2021 |