Healthcare Provider Details

I. General information

NPI: 1487894093
Provider Name (Legal Business Name): PAMELA M PRESTON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 06/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 MEMORIAL BLVD
MURFREESBORO TN
37129-5108
US

IV. Provider business mailing address

8 CADILLAC DR SUITE 250
BRENTWOOD TN
37027-5087
US

V. Phone/Fax

Practice location:
  • Phone: 615-225-0290
  • Fax: 615-225-0296
Mailing address:
  • Phone: 615-425-4200
  • Fax: 615-425-4271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6495
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: