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NPI Code Detail

MEDICARE: SUSAN YARBOROUGH

MEDICARE:   SUSAN  YARBOROUGH
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
1363LF0000XFamily Nurse Practitioner36207TN

General Provider Information

NPI Number : 1558898163
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN YARBOROUGH
Provider Business Mailing Address
First Line : 30 BURTON HILLS BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6140
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30 BURTON HILLS BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6140
Country : US
Telephone Number : 615-988-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2017
Last Update Date : 05/19/2026

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Directions to “ SUSAN YARBOROUGH ” Practice Location

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