Doctor Name: | AMY J BASS |
NPI Number: | 1013178383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N P |
License Number: | APN0000008131 |
Business Practice Address: | 1425 W Baddour Pkwy Lebanon, TN - 370872513 |
Business Phone Number: | 6154441118 |
Business Fax Number: | 6154430465 |
Mailing Address: | 720 Cool Springs Blvd, Ste 470 FRANKLIN |
State: | TN |
Postal Code: | 370672751 |
Phone Number: | 6153696336 |
Fax Number: | 6153696336 |
NPI Enumeration Date: | 06/19/2008 |
NPI Last Update Date: | 03/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000008131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |