Provider Demographics
NPI:1669043154
Name:BODIFORD, AUBREY MORGAN (NP)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:MORGAN
Last Name:BODIFORD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 CARRIAGE CT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1743
Mailing Address - Country:US
Mailing Address - Phone:816-565-1390
Mailing Address - Fax:
Practice Address - Street 1:5431 EDMONDSON PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5806
Practice Address - Country:US
Practice Address - Phone:615-332-7700
Practice Address - Fax:615-332-7707
Is Sole Proprietor?:No
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29248363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily