Provider Demographics
NPI:1467240978
Name:NATION, ALYSSA (ACNPC-AG)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:NATION
Suffix:
Gender:
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 HOLLY GROVE LN
Mailing Address - Street 2:
Mailing Address - City:LOUDON
Mailing Address - State:TN
Mailing Address - Zip Code:37774-1609
Mailing Address - Country:US
Mailing Address - Phone:240-419-4872
Mailing Address - Fax:
Practice Address - Street 1:159 HOLLY GROVE LN
Practice Address - Street 2:
Practice Address - City:LOUDON
Practice Address - State:TN
Practice Address - Zip Code:37774-1609
Practice Address - Country:US
Practice Address - Phone:240-419-4872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN238270363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine