# MRS. CONSTANCE SUE LACKNER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922068022
- **Gender:** F
- **Credential:** MSN APRN BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0024182053 | VA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 7278 | TN | Yes |

## Other

- **Enumeration date:** 03/24/2006
- **Last updated:** 11/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3143910 | BLUE CROSS BLUE SHIELD | TN |
| 05 | — | 3345085 | — | TN |
| 01 | — | 890000552 | RAILROAD PROVIDER | — |