MEDICARE: MRS. HAILEY KATHLEEN CHRISTIAN MSN, APRN, A-GNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	AG02210133	TN
2	363LA2200X	Adult Health Nurse Practitioner	APN0000029302	TN

General Provider Information

NPI Number	:	1457932659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HAILEY KATHLEEN CHRISTIAN MSN, APRN, A-GNP-C

Provider Business Mailing Address
First Line	:	2403 SPRINGVIEW DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3049
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2403 SPRINGVIEW DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3049
Country	:	US
Telephone Number	:	615-438-2197
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	04/19/2021

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