Healthcare Provider Details

I. General information

NPI: 1598526394
Provider Name (Legal Business Name): KATHLEEN MCINNIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 06/09/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 COOL SPRINGS BLVD STE 140
FRANKLIN TN
37067-6449
US

IV. Provider business mailing address

7464 RIVER ROAD PIKE
NASHVILLE TN
37209-5729
US

V. Phone/Fax

Practice location:
  • Phone: 615-637-1490
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number0000233437
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number37308
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: