MEDICARE: AUSTIN DODSON

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	363LA2100X	Acute Care Nurse Practitioner	235210	TN

General Provider Information

NPI Number	:	1629909288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN DODSON

Provider Business Mailing Address
First Line	:	611 TOMMY DODSON HWY
Second Line	:
City	:	COOKEVILLE
State	:	TN
Zip	:	38506-9024
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 TOMMY DODSON HWY
Second Line	:
City	:	COOKEVILLE
State	:	TN
Zip	:	38506-9024
Country	:	US
Telephone Number	:	931-644-8415
Fax Number	:

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

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “ AUSTIN DODSON ” Practice Location

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