Provider Demographics
NPI:1093586711
Name:WHITE, CHELSEY LYNN (RN, CLC)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEY
Middle Name:LYNN
Last Name:WHITE
Suffix:
Gender:F
Credentials:RN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 WILBURN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:RIDDLETON
Mailing Address - State:TN
Mailing Address - Zip Code:37151-2205
Mailing Address - Country:US
Mailing Address - Phone:615-489-5412
Mailing Address - Fax:
Practice Address - Street 1:158 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TN
Practice Address - Zip Code:37030-1083
Practice Address - Country:US
Practice Address - Phone:615-735-1560
Practice Address - Fax:615-735-5323
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000172235163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator