Provider Demographics
NPI:1669934253
Name:GALLAGHER, LAUREN BOUNDS (APRN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:BOUNDS
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 DOGWOOD PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3105
Mailing Address - Country:US
Mailing Address - Phone:615-488-8675
Mailing Address - Fax:615-235-1221
Practice Address - Street 1:2815 DOGWOOD PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3105
Practice Address - Country:US
Practice Address - Phone:615-488-8675
Practice Address - Fax:615-235-1221
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN210881163W00000X
TN25540363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health