Individual
MISS CAROL LYNNE MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
353 NEW SHACKLE ISLAND ROAD, SUITE 140 C, HENDERSONVILLE, TN 37075-3181
(615) 826-5664
(615) 826-5665
Mailing address
353 NEW SHACKLE ISLAND ROAD, SUITE 140 C, HENDERSONVILLE, TN 37075-3181
(615) 826-5664
(615) 826-5665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 6776
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3736791
MEDICARE PTAN
TN
Enumeration date
07/12/2006
Last updated
05/05/2015
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