MEDICARE: MR. SAMUEL ADLER PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26683	TN

General Provider Information

NPI Number	:	1952944027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SAMUEL ADLER PMHNP

Provider Business Mailing Address
First Line	:	1612 WESTGATE CIR STE 215
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-8078
Country	:	US
Telephone Number	:	615-669-4173
Fax Number	:

Provider Business Practice Location Address
First Line	:	1612 WESTGATE CIR STE 215
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-8078
Country	:	US
Telephone Number	:	615-669-4173
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2019
Last Update Date	:	03/18/2026

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