Healthcare Provider Details

I. General information

NPI: 1497049688
Provider Name (Legal Business Name): NAOMI PRASHAD KOWN ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2011
Last Update Date: 10/23/2020
Certification Date: 10/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1161 21ST AVE SOUTH 5302 MEDICAL CENTER NORTH CCC
NASHVILLE TN
37203-5279
US

IV. Provider business mailing address

810 EVANSDALE DR
NASHVILLE TN
37220-1512
US

V. Phone/Fax

Practice location:
  • Phone: 615-875-3464
  • Fax: 615-322-2733
Mailing address:
  • Phone: 615-715-0424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number15564
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: