Healthcare Provider Details

I. General information

NPI: 1417006495
Provider Name (Legal Business Name): SARAH S. PADDON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 E BADDOUR PKWY
LEBANON TN
37087-3706
US

IV. Provider business mailing address

710 HART LN
NASHVILLE TN
37247-0801
US

V. Phone/Fax

Practice location:
  • Phone: 615-444-5325
  • Fax: 615-444-2750
Mailing address:
  • Phone: 615-650-7000
  • Fax: 615-262-6139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number6593
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: