Basic Information
Provider Information
NPI: 1467859132
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WEST
FirstName: JAMES
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 20TH AVE N STE 403
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372035180
CountryCode: US
TelephoneNumber: 6152844088
FaxNumber: 6152847501
Practice Location
Address1: 4220 HARDING PIKE
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372052005
CountryCode: US
TelephoneNumber: 6152224923
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/25/2014
LastUpdateDate: 08/15/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X19440TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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