Provider Demographics
NPI:1164269338
Name:PIERCE, SALLEY KATHERINE (PA-S)
Entity type:Individual
Prefix:
First Name:SALLEY
Middle Name:KATHERINE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TREVECCA NAZARENE UNIVERSITY PA PROGRAM
Mailing Address - Street 2:333 MURFREESBORO PIKE
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210
Mailing Address - Country:US
Mailing Address - Phone:615-248-1225
Mailing Address - Fax:
Practice Address - Street 1:TREVECCA NAZARENE UNIVERSITY PA PROGRAM
Practice Address - Street 2:333 MURFREESBORO PIKE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210
Practice Address - Country:US
Practice Address - Phone:615-248-1225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-13
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program