Healthcare Provider Details

I. General information

NPI: 1992519359
Provider Name (Legal Business Name): SIDNEY LEIGH DEAN WHNP- AGPCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3904 GALLATIN PIKE
NASHVILLE TN
37216-2406
US

IV. Provider business mailing address

2711 FOSTER AVE
NASHVILLE TN
37210-5307
US

V. Phone/Fax

Practice location:
  • Phone: 615-227-3000
  • Fax:
Mailing address:
  • Phone: 615-227-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number38140
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number38140
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: