NPI 1760140917 · live from the CMS NPI Registry
Avery Mae Pediatrics LLC
Nurse Practitioner, Pediatrics in Thompsons Station, TN. National Provider Identifier 1760140917, active.
NPI record
| NPI | 1760140917 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2100 Branford Pl Ste 301, Thompsons Station, TN 37179 |
| Practice phone | 615-261-1313 |
| Enumerated | December 6, 2021 |
| Last updated | December 6, 2021 |
| Authorized official | Sarah Elliott, Owner/Authorized Official |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.