Provider Demographics
NPI:1962466391
Name:SIMON, ALLISON I (APRN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:I
Last Name:SIMON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1195 OLD HICKORY BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4239
Mailing Address - Country:US
Mailing Address - Phone:615-373-2000
Mailing Address - Fax:615-891-5021
Practice Address - Street 1:5073 MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-2737
Practice Address - Country:US
Practice Address - Phone:615-302-0885
Practice Address - Fax:615-891-5003
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2014-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000011036363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3642706Medicaid
TN3642706Medicaid
TN3642706Medicare PIN