Provider Demographics
NPI:1205551561
Name:COWART, CAITLIN ELAINE (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ELAINE
Last Name:COWART
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 COOL SPRINGS BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6449
Mailing Address - Country:US
Mailing Address - Phone:855-916-5349
Mailing Address - Fax:
Practice Address - Street 1:740 COOL SPRINGS BLVD STE 140
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6449
Practice Address - Country:US
Practice Address - Phone:855-916-5349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN251893163W00000X
TN37298363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse