Provider Demographics
NPI:1770993412
Name:BELL, STEPHANIE GROSE (AGACNP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:GROSE
Last Name:BELL
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:ROBERTA
Other - Last Name:GROSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2300 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1538
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2000 HAYES ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2318
Practice Address - Country:US
Practice Address - Phone:615-284-4599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-03
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18627363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care