Healthcare Provider Details

I. General information

NPI: 1780216333
Provider Name (Legal Business Name): TN ANESTHESIA SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2020
Last Update Date: 02/11/2020
Certification Date: 02/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 23RD AVE N
NASHVILLE TN
37203-1501
US

IV. Provider business mailing address

1006 RAMBLE RUN
HENDERSONVILLE TN
37075-1487
US

V. Phone/Fax

Practice location:
  • Phone: 615-944-1443
  • Fax:
Mailing address:
  • Phone: 615-419-2042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JESSICA ANDERSON
Title or Position: PRESIDENT
Credential:
Phone: 615-419-2042