Healthcare Provider Details

I. General information

NPI: 1730689373
Provider Name (Legal Business Name): ALLEN N CONN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2018
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PATTERSON ST STE 400
NASHVILLE TN
37203-1575
US

IV. Provider business mailing address

2400 PATTERSON ST STE 400
NASHVILLE TN
37203-1575
US

V. Phone/Fax

Practice location:
  • Phone: 615-342-7440
  • Fax: 615-342-7455
Mailing address:
  • Phone: 615-342-7440
  • Fax: 615-342-7455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5346
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: