Provider Demographics
NPI:1447528815
Name:PULLEN, CAROLINE CROW (RD)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:CROW
Last Name:PULLEN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 GLENDALE GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-4142
Mailing Address - Country:US
Mailing Address - Phone:205-907-3600
Mailing Address - Fax:615-988-0017
Practice Address - Street 1:2200 21ST AVE S STE 252
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4965
Practice Address - Country:US
Practice Address - Phone:205-907-3600
Practice Address - Fax:615-988-0017
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2436133V00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered