Basic Information
| Provider Information | |||||||||
| NPI: | 1992472716 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRAVES | ||||||||
| FirstName: | CHELSIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 ATKINS DR | ||||||||
| Address2: | |||||||||
| City: | CROSS PLAINS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370495800 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6156930521 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1211 MEDICAL CENTER DR | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372320004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153225000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2021 | ||||||||
| LastUpdateDate: | 08/28/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program | 163WC0200X | 0000230995 | TN | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine |
No ID Information.