MID TN CLINIC LLC NPI 1154179950

NPI Information

  • NPI: 1154179950
  • Provider Name: MID TN CLINIC LLC
  • Classification: Clinical Nurse Specialist - 364SA2100X
  • Specialization: Acute Care
  • Entity Type: Organization
  • CLIA Number: 44D2307124
  • Address: 3413 NOLENSVILLE PIKE
    NASHVILLE, TN
    ZIP 37211
  • Phone: (615) 569-4067

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NPI Details

MID TN CLINIC LLC is an acute care clinical nurse specialist in Nashville, TN. MID TN CLINIC LLC NPI is 1154179950. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3413 NOLENSVILLE PIKE
NASHVILLE, TN
ZIP 37211-909
Phone: (615) 569-4067

The provider's authorized official is Bola Gabriel .
The authorized official title is Co-owner/manager and has the following contact phone number (615) 569-4067.

The CLIA number assigned to this NPI record is 44D2307124 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2024 and was last updated on 5/8/2024.

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
1364SA2100XClinical Nurse SpecialistAcute CareYes

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: 11/21/2025

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