Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | APN8120 | TN |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APN8120 | TN |
NPI | 1164433611 |
---|---|
Provider Name | Ms. Cynthia Young Driskill |
First Address | Nashville, TN 37232-8678 |
Second Address | Nashville, TN 37232-5100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD0987632 | DEA (01) |