Doctor Name: | MRS. GRETCHEN WHITE |
NPI Number: | 1003202292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | APN0000019086 |
Business Practice Address: | 300 Steam Plant Rd Ste 300 Gallatin, TN - 370663032 |
Business Phone Number: | 6152308070 |
Business Fax Number: | 6159894661 |
Mailing Address: | 300 Steam Plant Rd, Ste 300 GALLATIN |
State: | TN |
Postal Code: | 370663032 |
Phone Number: | 6152308070 |
Fax Number: | 6159894661 |
NPI Enumeration Date: | 04/14/2015 |
NPI Last Update Date: | 09/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000019086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |