Healthcare Provider Details

I. General information

NPI: 1942531553
Provider Name (Legal Business Name): JOSHUA DAVID SLOAN ACNP-BC, RN, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2010
Last Update Date: 06/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 23RD AVE N STE 301
NASHVILLE TN
37203-1513
US

IV. Provider business mailing address

345 23RD AVE N STE 301
NASHVILLE TN
37203-1513
US

V. Phone/Fax

Practice location:
  • Phone: 615-329-2520
  • Fax: 615-329-3530
Mailing address:
  • Phone: 615-329-2520
  • Fax: 615-329-3530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number14764
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License NumberRN0000167750
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: