| Doctor Name: | MR. JOEL BRYAN MCPHERSON |
| NPI Number: | 1063701423 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APN, PMHNP |
| License Number: | 0000015546 |
| Business Practice Address: | 650 Joel Dr Blanchfield Army Community Hospital, Behavioral Health Fort Campbell, KY - 422235318 |
| Business Phone Number: | 2707984097 |
| Business Fax Number: | 2707982954 |
| Mailing Address: | 511 Bonerwood Dr, NASHVILLE |
| State: | TN |
| Postal Code: | 372115213 |
| Phone Number: | 6158049437 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2011 |
| NPI Last Update Date: | 03/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 0000015546 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |