Provider Demographics
NPI:1255170221
Name:DEW, ABIGAYLE LAUREN (PMHNP, APRN, MSN)
Entity type:Individual
Prefix:
First Name:ABIGAYLE
Middle Name:LAUREN
Last Name:DEW
Suffix:
Gender:
Credentials:PMHNP, APRN, MSN
Other - Prefix:
Other - First Name:ABBEY
Other - Middle Name:LAUREN
Other - Last Name:DEW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PMHNP, APRN, MSN
Mailing Address - Street 1:210 JAMESTOWN PARK STE 100
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7570
Mailing Address - Country:US
Mailing Address - Phone:615-640-9994
Mailing Address - Fax:615-610-5186
Practice Address - Street 1:210 JAMESTOWN PARK STE 100
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7570
Practice Address - Country:US
Practice Address - Phone:615-640-9994
Practice Address - Fax:615-610-5186
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN237944163W00000X
TN36848363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse