IndividualActive
Alexander Park
NPI 1972470805 · Physician Assistant · Nashville, TN
Provider details
- NPI number
- 1972470805
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
415 Wilsonia Ave
Nashville, TN 37205-1338
Phone: (707) 815-5040
Approximate (ZIP-level) locationGet directions
Mailing address
415 Wilsonia Ave
Nashville, TN 37205-1338
Registry dates
- Enumerated
- 2025-10-23
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.