Healthcare Provider Details

I. General information

NPI: 1295415016
Provider Name (Legal Business Name): BRANDY CAUTHEN DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 WEATHERLY DR STE F
CLARKSVILLE TN
37043-8915
US

IV. Provider business mailing address

220 ATHENS WAY STE 104
NASHVILLE TN
37228-1351
US

V. Phone/Fax

Practice location:
  • Phone: 615-320-1155
  • Fax:
Mailing address:
  • Phone: 615-320-1155
  • Fax: 615-320-1177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number34352
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: