Provider Demographics
NPI:1962257147
Name:DEGATI, ALLISON EILEEN
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:EILEEN
Last Name:DEGATI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 HOLT HILLS RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-6928
Mailing Address - Country:US
Mailing Address - Phone:908-510-2337
Mailing Address - Fax:
Practice Address - Street 1:4230 HARDING PIKE STE 450
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-6048
Practice Address - Country:US
Practice Address - Phone:615-222-3078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily