| Provider Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Provider Classification: | Nurse Practitioner |
| Provider Specialization: | Gerontology |
| Address: |
10 Cadillac Dr Suite 350 Brentwood, TN 37027-5078 |
| Phone: | (615) 986-9201 |
| Fax: | (615) 986-9256 |
| Authorized Official: | Stanley, Kirk M |
| Authorized Official Position: | Cfo |
| Authorized Official Phone: | (615) 986-9226 |
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