CORBAN BOYD CRESSLEY PA ATC NPI 1790315695

NPI Information

NPI: 1790315695
Provider Name: CORBAN BOYD CRESSLEY, PA, ATC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2004 HAYES ST STE 200
NASHVILLE, TN
ZIP 37203
Phone: (615) 324-1600
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Corban Boyd Cressley, PA, ATC is a medical physician assistant in Nashville, TN with 5 years of experience. Corban Boyd Cressley, PA, ATC NPI is 1790315695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2004 HAYES ST STE 200
NASHVILLE, TN
ZIP 37203-689
Phone: (615) 324-1600

The NPI 1790315695 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/20/2020 and was last updated on 1/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical		TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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