Healthcare Provider Details

I. General information

NPI: 1447287628
Provider Name (Legal Business Name): DAVID EVAN SCOTT APN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 03/09/2020
Certification Date: 03/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 24TH AVE S
NASHVILLE TN
37212-2637
US

IV. Provider business mailing address

PO BOX 50682
NASHVILLE TN
37205-0682
US

V. Phone/Fax

Practice location:
  • Phone: 615-519-5412
  • Fax:
Mailing address:
  • Phone: 615-519-5412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN 8482
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number8482
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: