Healthcare Provider Details
I. General information
NPI: 1285378323
Provider Name (Legal Business Name): MORGAN ELIZABETH FLYNN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/25/2022
Last Update Date: 04/25/2022
Certification Date: 04/25/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1601 23RD AVE S
NASHVILLE TN
37212-3133
US
IV. Provider business mailing address
1601 23RD AVE S
NASHVILLE TN
37212-3133
US
V. Phone/Fax
- Phone: 615-327-7119
- Fax:
- Phone: 615-327-7119
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: