| Doctor Name: | MS. ROSE DAWN WIDENER |
| NPI Number: | 1083610547 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | APN0000011005 |
| Business Practice Address: | 7105 Ramsey Way Dickson, TN - 370551586 |
| Business Phone Number: | 6154464999 |
| Business Fax Number: | 6153260099 |
| Mailing Address: | 5105 Rhett Dr, NASHVILLE |
| State: | TN |
| Postal Code: | 372115904 |
| Phone Number: | 6155163840 |
| Fax Number: | |
| NPI Enumeration Date: | 06/21/2005 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN0000011005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |