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TENNESSEE TELEDERM PLLC
NPI 1114528049
Nurse Practitioner - Family in Nashville, TN

Active since November 06, 2020
3500 JOHN A MERRITT BLVD, NASHVILLE, TN 37209(615) 513-1959(615) 513-0498 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tennessee Telederm Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TENNESSEE TELEDERM PLLC (NPI 1114528049) is a healthcare organization registered as a family in Nashville, Tennessee and active in the NPI registry since November 2020. The organization lists Stacy Snyder, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1114528049
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTENNESSEE TELEDERM PLLC
Location Address3500 JOHN A MERRITT BLVDNashville, TN 37209
Mailing Address73 White Bridge Pike Ste 103Nashville, TN 37205-1444 · (615) 513-1959 · Fax (615) 513-0498
Phone(615) 513-1959
Fax(615) 513-0498
Organization SubpartNo
Authorized OfficialStacy SnyderCredentialing Manager · (480) 565-1132
Enumeration DateNovember 6, 2020
NPPES CertifiedNovember 4, 2020
✔ NPI 1114528049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
3500 JOHN A MERRITT BLVD, Nashville, TN 37209
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROF. JANICE M WILLIAMS RDH
Dental Hygienist
3500 JOHN A MERRITT BLVD
NASHVILLE, TN 37209
Davidson County (615) 963-5839
MS. ANTIONETTE ARMSTRONG RDH
Dental Hygienist
3500 JOHN A MERRITT BLVD
NASHVILLE, TN 37209
Davidson County (615) 962-5792
NADIRA ECCLESIASTES
Behavior Technician
3500 JOHN A MERRITT BLVD
NASHVILLE, TN 37209
Davidson County (347) 987-9133
MR. RYAN THOMAS KRACH ATC
Specialist/Technologist (Athletic Trainer)
3500 JOHN A MERRITT BLVD
NASHVILLE, TN 37209
Davidson County (615) 963-7829
MR. GAVYN LOUIS MCCALL MS
Student in an Organized Health Care Education/Training Program
3500 JOHN A MERRITT BLVD
NASHVILLE, TN 37209
Davidson County (615) 963-5000
RIVERS BULICH
Specialist/Technologist (Athletic Trainer)
3500 JOHN A MERRITT BLVD
NASHVILLE, TN 37209
Davidson County (605) 415-0574
TENNESSEE STATE UNIVERSITY
Orthopaedic Surgery
3500 JOHN A MERRITT BLVD
NASHVILLE, TN 37209
Davidson County (571) 535-5979
SHAPE BEHAVIORAL SERVICES LLC
Behavior Analyst
3500 JOHN A MERRITT BLVD
NASHVILLE, TN 37209
Davidson County (423) 281-4333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tennessee Telederm PLLC's NPI number?

The NPI number for Tennessee Telederm PLLC is 1114528049. It was assigned to this organization in the NPPES registry on November 6, 2020.

Where is Tennessee Telederm PLLC located?

Tennessee Telederm PLLC is located at 3500 John A Merritt Blvd, Nashville, TN 37209. The listed phone number is (615) 513-1959.

What is Tennessee Telederm PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tennessee Telederm PLLC was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.