| Doctor Name: | CHERYL MANN |
| NPI Number: | 1073908729 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 18004 |
| Business Practice Address: | 2620 N Mount Juliet Rd Mount Juliet, TN - 371228015 |
| Business Phone Number: | 6157735785 |
| Business Fax Number: | |
| Mailing Address: | 2900 Cherry Bark Ct, HERMITAGE |
| State: | TN |
| Postal Code: | 370763095 |
| Phone Number: | 6152682258 |
| Fax Number: | |
| NPI Enumeration Date: | 03/31/2015 |
| NPI Last Update Date: | 03/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 18004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |