Provider Demographics
NPI:1578813325
Name:GIPSON, ERIN L (RN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:GIPSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:684 WOLFEBORO LANE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2139
Mailing Address - Country:US
Mailing Address - Phone:256-298-0015
Mailing Address - Fax:
Practice Address - Street 1:2500 CHARLOTTE AVENUE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-1503
Practice Address - Country:US
Practice Address - Phone:256-298-0015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000181814163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool