Provider Demographics
NPI:1942609813
Name:GRIFFIN, MAEGAN (MSN, NP-C)
Entity Type:Individual
Prefix:
First Name:MAEGAN
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4322 HARDING RD
Mailing Address - Street 2:SUITE 326
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2662
Mailing Address - Country:US
Mailing Address - Phone:615-620-7800
Mailing Address - Fax:
Practice Address - Street 1:4322 HARDING RD
Practice Address - Street 2:SUITE 326
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2490
Practice Address - Country:US
Practice Address - Phone:615-620-7800
Practice Address - Fax:615-620-7805
Is Sole Proprietor?:No
Enumeration Date:2014-08-17
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19026363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner