Healthcare Provider Details

I. General information

NPI: 1982539789
Provider Name (Legal Business Name): TREE ROOTS MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 INTERNATIONAL DR STE 200
FRANKLIN TN
37067-1763
US

IV. Provider business mailing address

109 INTERNATIONAL DR STE 200
FRANKLIN TN
37067-1763
US

V. Phone/Fax

Practice location:
  • Phone: 615-538-8522
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LOGAN EASTERDAY
Title or Position: CEO
Credential: AGACNP
Phone: 615-538-8522