Provider Demographics
NPI:1518506369
Name:MAULDIN, CAROLINE (FNP-C)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:MAULDIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 VINTAGE CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-4082
Mailing Address - Country:US
Mailing Address - Phone:615-598-8292
Mailing Address - Fax:
Practice Address - Street 1:107 GLEN OAK BLVD STE 201B
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3000
Practice Address - Country:US
Practice Address - Phone:615-499-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-26
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000026828363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily