NPI 1801126495 · live from the CMS NPI Registry
Codi Caine, CPNP
Nurse Practitioner, Pediatrics in Clarksville, TN. National Provider Identifier 1801126495, active.
NPI record
| NPI | 1801126495 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 881 Professional Park Drive, Clarksville, TN 37040 |
| Practice phone | 931-645-4685 |
| Enumerated | January 5, 2010 |
| Last updated | October 15, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 209.007946 (IL) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | APN0000014485 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.