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NPI Code Detail

MEDICARE: LAUREN MICHELLE GRUDE WHNP-BC

MEDICARE: LAUREN MICHELLE GRUDE WHNP-BC
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
1363LW0102XWomen's Health Nurse Practitioner21819TN
2363LP0808XPsychiatric/Mental Health Nurse Practitioner21819TN

General Provider Information

NPI Number : 1548719313
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN MICHELLE GRUDE WHNP-BC
Provider Business Mailing Address
First Line : 2101 YELLOW CREEK RD
Second Line :
City : DICKSON
State : TN
Zip : 37055-5235
Country : US
Telephone Number : 615-613-7361
Fax Number :
Provider Business Practice Location Address
First Line : 130 SEABOARD LN STE A10
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-8221
Country : US
Telephone Number : 615-326-9918
Fax Number : 779-201-6241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2016
Last Update Date : 04/15/2026

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Directions to “ LAUREN MICHELLE GRUDE WHNP-BC” Practice Location

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