Healthcare Provider Details

I. General information

NPI: 1962537399
Provider Name (Legal Business Name): CARA CALLOWAY YOUNG PHD, APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 12/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 HILLSBORO RD
NASHVILLE TN
37215-2603
US

IV. Provider business mailing address

600C GODCHAUX HALL 461 21ST AVENUE SOUTH
NASHVILLE TN
37240-0001
US

V. Phone/Fax

Practice location:
  • Phone: 615-385-0622
  • Fax:
Mailing address:
  • Phone: 615-343-0637
  • Fax: 615-343-5898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN12519
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: