Healthcare Provider Details

I. General information

NPI: 1306591441
Provider Name (Legal Business Name): ALEXIS POSTELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIS WILLIAMS

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 02/17/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S PERIMETER PARK DR STE 100
NASHVILLE TN
37211-4128
US

IV. Provider business mailing address

301 S PERIMETER PARK DR STE 100
NASHVILLE TN
37211-4128
US

V. Phone/Fax

Practice location:
  • Phone: 615-802-2100
  • Fax:
Mailing address:
  • Phone: 615-802-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number95008
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: