Provider Demographics
NPI:1710253703
Name:ATKINSON, TIFFANY SPAHN (CNS)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:SPAHN
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 CHILDRENS WAY
Mailing Address - Street 2:6013 VCH
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-9006
Mailing Address - Country:US
Mailing Address - Phone:615-343-1225
Mailing Address - Fax:615-936-6210
Practice Address - Street 1:2200 CHILDRENS WAY
Practice Address - Street 2:6013 VCH
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-9006
Practice Address - Country:US
Practice Address - Phone:615-343-1225
Practice Address - Fax:615-936-6210
Is Sole Proprietor?:No
Enumeration Date:2012-03-24
Last Update Date:2012-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2011016682364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist