Healthcare Provider Details

I. General information

NPI: 1740191691
Provider Name (Legal Business Name): OLIVIA DIPAOLO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PATTERSON ST STE 307
NASHVILLE TN
37203-6532
US

IV. Provider business mailing address

1323 MOHER BLVD
FRANKLIN TN
37069-5109
US

V. Phone/Fax

Practice location:
  • Phone: 614-608-6947
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number7411
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: