Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 16277 | TN |
NPI | 1003184243 |
---|---|
Provider Name | Mrs. Briana Witherspoon |
First Address | Nashville, TN 37232-2102 |
Second Address | Nashville, TN 37232-2102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2011 |
Last Update Date | 02/12/2011 |