Healthcare Provider Details

I. General information

NPI: 1023834140
Provider Name (Legal Business Name): BAILEY MONROE GRANDSTAFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2024
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 MEDICAL CENTER PKWY STE 405
MURFREESBORO TN
37129-3237
US

IV. Provider business mailing address

300 20TH AVE N STE 403
NASHVILLE TN
37203-5180
US

V. Phone/Fax

Practice location:
  • Phone: 615-494-2965
  • Fax:
Mailing address:
  • Phone: 615-284-7261
  • Fax: 615-284-7501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number37713
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: