Provider Demographics
NPI:1366477622
Name:STEWART, EMILY T (NP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:T
Last Name:STEWART
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:T
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CFNP
Mailing Address - Street 1:740 COOL SPRINGS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6448
Mailing Address - Country:US
Mailing Address - Phone:615-771-1881
Mailing Address - Fax:615-771-0050
Practice Address - Street 1:2103 CRESTMOOR RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2614
Practice Address - Country:US
Practice Address - Phone:615-921-2100
Practice Address - Fax:615-921-2101
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11731207RC0000X, 363LF0000X
TNTN135480207RC0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3642036Medicare ID - Type Unspecified
Q58098Medicare UPIN