Healthcare Provider Details

I. General information

NPI: 1245668102
Provider Name (Legal Business Name): SAMUEL PARIS CPNP-PC, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2013
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 MURFREESBORO RD SUITE 319
FRANKLIN TN
37064-1306
US

IV. Provider business mailing address

143 SE PARKWAY CT
FRANKLIN TN
37064-3968
US

V. Phone/Fax

Practice location:
  • Phone: 615-790-0567
  • Fax: 615-595-8030
Mailing address:
  • Phone: 615-790-0567
  • Fax: 615-595-8030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number18089
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number18089
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: