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General NPI Number Information
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NPI Number | 1851484000
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Entity Type | Individual
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Provider Name | GRETCHEN R NELSON NP
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1040 N JAMES CAMPBELL BLVD SUITE 108
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City | COLUMBIA
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State | TN
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Zip | 38401
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Country | US
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Telephone | 931-223-8414
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Fax | 931-223-8415
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Provider Business Mailing Address
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Address Line | 657 S WATER AVE
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City | GALLATIN
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State | TN
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Zip | 37066-3645
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Country | US
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Telephone | 615-610-1701
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Fax | 615-590-7666
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209004992
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN22643
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License Number State | TN
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