Provider Demographics
NPI:1104856384
Name:BYRER, CHRISTINE F (CFNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:F
Last Name:BYRER
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:F
Other - Last Name:CHRISTIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1673 N ROYAL ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-3607
Mailing Address - Country:US
Mailing Address - Phone:731-265-1997
Mailing Address - Fax:731-265-0511
Practice Address - Street 1:1673 N ROYAL ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38301-3607
Practice Address - Country:US
Practice Address - Phone:731-265-1997
Practice Address - Fax:731-265-0511
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN95319163W00000X
TNAPN6810363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN26401OtherTLC
TN3905255Medicaid
TN4099098OtherBLUE CROSS BLUE SHIELD
TN3905255Medicare PIN
TN4099098OtherBLUE CROSS BLUE SHIELD
TN10350I9308Medicare PIN
TN3905255Medicaid