Healthcare Provider Details

I. General information

NPI: 1477322352
Provider Name (Legal Business Name): CHLOE GRACE MARGARET PENTON CNM, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 BENTON AVE
NASHVILLE TN
37204-2303
US

IV. Provider business mailing address

601 BENTON AVE
NASHVILLE TN
37204-2303
US

V. Phone/Fax

Practice location:
  • Phone: 615-292-9770
  • Fax:
Mailing address:
  • Phone: 615-292-9770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number38137
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: