Provider Demographics
NPI:1780313346
Name:BYRON, DOLLIE VICTORIA (NP)
Entity type:Individual
Prefix:
First Name:DOLLIE
Middle Name:VICTORIA
Last Name:BYRON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7084 SONYA DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5230
Mailing Address - Country:US
Mailing Address - Phone:615-692-9560
Mailing Address - Fax:
Practice Address - Street 1:7110 CROSSROADS BLVD STE 400
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2826
Practice Address - Country:US
Practice Address - Phone:615-457-8585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000031606363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health