Basic Information
Provider Information
NPI: 1003202292
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRIS WHITE
FirstName: GRETCHEN
MiddleName: N
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 STEAM PLANT RD
Address2: STE 300
City: GALLATIN
State: TN
PostalCode: 370663032
CountryCode: US
TelephoneNumber: 6152308070
FaxNumber: 6159894661
Practice Location
Address1: 300 STEAM PLANT RD
Address2: STE 300
City: GALLATIN
State: TN
PostalCode: 370663032
CountryCode: US
TelephoneNumber: 6152308070
FaxNumber: 6159894661
Other Information
ProviderEnumerationDate: 04/14/2015
LastUpdateDate: 06/25/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPN0000019086TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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