Basic Information
Provider Information
NPI: 1770846412
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARRISH
FirstName: YALONDA
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 719 THOMPSON LN STE 30330
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372044701
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 107 CHARLES E DAVIS BLVD
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372102745
CountryCode: US
TelephoneNumber: 6152273000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/18/2012
LastUpdateDate: 06/16/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/16/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN0000137671TNN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000X16394TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

ID Information
IDTypeStateIssuerDescription
1008091601TNAMERIGROUPOTHER
405861405TN MEDICAID
757455401TNAETNAOTHER
411469405TN MEDICAID
22389458801TNWINDSOROTHER
405861401TNBCBSOTHER
22389458801TNAMERICHOICEOTHER
256673201TNCIGNAOTHER
405715805TN MEDICAID


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