Healthcare Provider Details

I. General information

NPI: 1730653189
Provider Name (Legal Business Name): AARON KINSLOW NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2019
Last Update Date: 01/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MEDICAL CENTER PKWY STE 200
MURFREESBORO TN
37129-2566
US

IV. Provider business mailing address

608 NORRIS AVE
NASHVILLE TN
37204-3708
US

V. Phone/Fax

Practice location:
  • Phone: 615-896-6800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number25363
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: