Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 12488 | TN |
NPI | 1033395488 |
---|---|
Provider Name | Mrs. Carol Jean Lowrance |
First Address | Nashville, TN 37212-2637 |
Second Address | Nashville, TN 37212-2637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2008 |
Last Update Date | 16/01/2008 |