Provider Demographics
NPI:1073500377
Name:SINGLETON, CODYE D (NP)
Entity Type:Individual
Prefix:MS
First Name:CODYE
Middle Name:D
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 LONG HOLLOW PIKE
Mailing Address - Street 2:SUITE E
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3480
Mailing Address - Country:US
Mailing Address - Phone:615-859-8081
Mailing Address - Fax:615-859-8082
Practice Address - Street 1:430 LONG HOLLOW PIKE
Practice Address - Street 2:SUITE E
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3480
Practice Address - Country:US
Practice Address - Phone:615-859-8081
Practice Address - Fax:615-859-8082
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-02
Last Update Date:2010-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006433363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily