Provider Demographics
NPI:1306550264
Name:KNOTTS, BRETT JARED (FNP-BC)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:JARED
Last Name:KNOTTS
Suffix:
Gender:M
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 1:1065 MONTROSE DR
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-1456
Mailing Address - Country:US
Mailing Address - Phone:615-516-0619
Mailing Address - Fax:
Practice Address - Street 1:3443 DICKERSON PIKE STE 370
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2535
Practice Address - Country:US
Practice Address - Phone:615-769-2795
Practice Address - Fax:615-769-2792
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33276363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner