Provider Demographics
NPI:1457724320
Name:FISH, ERIN GABRIELLE (MSN, APRN-BC)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:GABRIELLE
Last Name:FISH
Suffix:
Gender:F
Credentials:MSN, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 W END AVE APT 215
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1337
Mailing Address - Country:US
Mailing Address - Phone:615-601-1814
Mailing Address - Fax:615-369-9491
Practice Address - Street 1:135 2ND AVE N
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2542
Practice Address - Country:US
Practice Address - Phone:615-601-1814
Practice Address - Fax:615-369-9491
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23516363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health