Medley, Carol Lynne

Medley, Carol Lynne is an individual health care provider with primary practice located at 353 New Shackle Island Road Suite 140 C, Hendersonville TN 37075-3181. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Medley, Carol Lynne can be contacted via phone (615) 826-5664.

Contact Information

Primary practice address
353 New Shackle Island Road Suite 140 C Hendersonville TN 37075-3181
Fax: (615) 826-5665
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN 6776 Tennessee

Profile Details

NPI number 1639104268
LBN Legal business name Medley, Carol Lynne
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated May 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639104268 NPPES
Tennessee Other 3736791 MEDICARE PTAN

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