Doctor Name: | MRS. BRIANA WITHERSPOON |
NPI Number: | 1003184243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNP-BC |
License Number: | 16277 |
Business Practice Address: | 1161 21st Ave S Mcn A1204 Nashville, TN - 372322102 |
Business Phone Number: | 2816352750 |
Business Fax Number: | |
Mailing Address: | 1161 21st Avenue South, Mcn A1204 NASHVILLE |
State: | TN |
Postal Code: | 372322102 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/02/2011 |
NPI Last Update Date: | 12/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 16277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |