=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710799267
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LAUREN SPROWLS RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/22/2025
-----------------------------------------------------
Last Update Date | 02/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 207 MONKS WAY
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37064-2907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-673-4688
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1416 LOST HOLLOW LN
-----------------------------------------------------
City | ASHLAND CITY
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37015-9363
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-692-2188
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WL0100X
-----------------------------------------------------
Taxonomy Name | Lactation Consultant (Registered Nurse)
-----------------------------------------------------
License Number | 362104
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------