Provider Demographics
NPI:1780106245
Name:ABRAM, MATTHEW (FNP-BC)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:ABRAM
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 WESTPARK DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5063
Mailing Address - Country:US
Mailing Address - Phone:615-340-6840
Mailing Address - Fax:615-600-4804
Practice Address - Street 1:109 WESTPARK DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5063
Practice Address - Country:US
Practice Address - Phone:615-340-6840
Practice Address - Fax:615-600-4804
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-16
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22854363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily