Healthcare Provider Details

I. General information

NPI: 1144317660
Provider Name (Legal Business Name): TARA DAWN ATWOOD N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 03/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2009 BREWSTER DR
FRANKLIN TN
37067-8597
US

IV. Provider business mailing address

2009 BREWSTER DR
FRANKLIN TN
37067-8597
US

V. Phone/Fax

Practice location:
  • Phone: 615-403-4527
  • Fax: 615-250-3938
Mailing address:
  • Phone: 615-403-4527
  • Fax: 615-250-3938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8030
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: