Healthcare Provider Details

I. General information

NPI: 1346120292
Provider Name (Legal Business Name): EMILY GRACE BRICKELL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY GRACE MILLER

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 THE VANDERBILT CLINIC
NASHVILLE TN
37232-0001
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-5000
  • Fax:
Mailing address:
  • Phone: 615-322-6842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number39729
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: