Basic Information
Provider Information
NPI: 1750701900
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FLYNN
FirstName: NICHOLAS
MiddleName: ANDREW
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2000 CHURCH ST
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372360001
CountryCode: US
TelephoneNumber: 6152844672
FaxNumber: 6152845752
Practice Location
Address1: 2000 CHURCH ST BOX 102 IP HOSPITALIST BOX 102IP
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372360001
CountryCode: US
TelephoneNumber: 6152844672
FaxNumber: 6152845752
Other Information
ProviderEnumerationDate: 04/25/2014
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X53313TNY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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