Healthcare Provider Details

I. General information

NPI: 1487874848
Provider Name (Legal Business Name): ROBB KENNETH WYER ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 STEWARTS FERRY PIKE
NASHVILLE TN
37214-3325
US

IV. Provider business mailing address

3524 CLEARWATER DR
CLARKSVILLE TN
37042-4548
US

V. Phone/Fax

Practice location:
  • Phone: 615-231-5000
  • Fax:
Mailing address:
  • Phone: 931-647-4016
  • Fax: 615-231-5012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN0000113741
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000007557
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: