Doctor Name: | BRUCE E MCLAUGHLIN |
NPI Number: | 1225060999 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | 7148 |
Business Practice Address: | 754 N Mount Juliet Rd Mt Juliet, TN - 371223323 |
Business Phone Number: | 6157542828 |
Business Fax Number: | 6157542818 |
Mailing Address: | 754 N Mount Juliet Rd, MT JULIET |
State: | TN |
Postal Code: | 371223323 |
Phone Number: | 6157542828 |
Fax Number: | 6157542818 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 7148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |