=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770371262
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIN C POSS FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/25/2025
-----------------------------------------------------
Last Update Date | 04/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8911 N CAPITAL OF TEXAS HWY STE 1110
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78759-7203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-279-5960
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 241 WILLOW OAK DR
-----------------------------------------------------
City | SMITHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37166-1024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-418-5374
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 38390
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------