Healthcare Provider Details

I. General information

NPI: 1295824837
Provider Name (Legal Business Name): CINDY J SCOTT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 01/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 MALLORY LN SUITE 302
FRANKLIN TN
37067-2830
US

IV. Provider business mailing address

PO BOX 58326
NASHVILLE TN
37205-8326
US

V. Phone/Fax

Practice location:
  • Phone: 615-771-3303
  • Fax: 615-771-3029
Mailing address:
  • Phone: 615-771-3033
  • Fax: 615-771-3029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN8060
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: