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General NPI Number Information
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NPI Number | 1962956987
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Entity Type | Individual
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Provider Name | ELIZABETH MUGNANO RN, MSN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2016
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 9020 OVERLOOK BLVD STE 130
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City | BRENTWOOD
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State | TN
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Zip | 37027-3259
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Country | US
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Telephone | 865-219-3026
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Fax |
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Provider Business Mailing Address
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Address Line | 9020 OVERLOOK BLVD STE 130
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City | BRENTWOOD
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State | TN
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Zip | 37027-3259
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Country | US
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Telephone | 865-588-3173
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Fax | 865-312-6387
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 21905
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN0000208657
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 208657
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License Number State | TN
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