Basic Information
| Provider Information | |||||||||
| NPI: | 1164662540 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALBRIGHT | ||||||||
| FirstName: | JOSHUA | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | APN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8319 BRICKYARD RD | ||||||||
| Address2: | |||||||||
| City: | POWELL | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378493816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8658981351 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7557 DANNAHER WAY STE 110 | ||||||||
| Address2: | |||||||||
| City: | POWELL | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378493558 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8659388121 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/25/2009 | ||||||||
| LastUpdateDate: | 07/27/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN136610 | TN | N | Nursing Service Providers | Registered Nurse | 363LF0000X | APN0000014156 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 3345670 | 01 | TN | MEDICARE PTAN | OTHER |