| Organization Name: | TN PEDIATRICS |
| NPI Number: | 1003286196 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRANDIE HOOVER (OFFICE MANAGER) |
| Mailing Address: | 435 N Cedar Ave Cookeville |
| State: | TN US |
| Postal Code: | 385012422 |
| Phone Number: | 9315266100 |
| Fax Number: | 9315266002 |
| NPI Enumeration Date: | 10/01/2015 |
| NPI Last Update Date: | 10/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | APN0000020015 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |