Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 25709 | TN |
NPI | 1003479718 |
---|---|
Provider Name | Ms. Emily Barrington Burton |
First Address | Nashville, TN 37205-1938 |
Second Address | Nashville, TN 37205-1938 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2019 |
Last Update Date | 18/04/2019 |