Provider Demographics
NPI:1487782926
Name:ALLISON, NAN (MS, RD, LDN)
Entity type:Individual
Prefix:
First Name:NAN
Middle Name:
Last Name:ALLISON
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4305 LONE OAK RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-3450
Mailing Address - Country:US
Mailing Address - Phone:615-297-7888
Mailing Address - Fax:615-296-0382
Practice Address - Street 1:2424 21ST AVE S STE 201
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-5315
Practice Address - Country:US
Practice Address - Phone:615-861-9146
Practice Address - Fax:615-296-0832
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2018-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00313133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered