Provider Demographics
NPI:1114495322
Name:ZASTOUPIL, LAURYN MURPHY (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LAURYN
Middle Name:MURPHY
Last Name:ZASTOUPIL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:LAURYN
Other - Middle Name:MURPHY
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:833-908-0998
Practice Address - Street 1:201 E EMORY RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-4016
Practice Address - Country:US
Practice Address - Phone:865-938-3627
Practice Address - Fax:833-908-2166
Is Sole Proprietor?:No
Enumeration Date:2018-11-06
Last Update Date:2023-11-03
Deactivation Date:2023-10-31
Deactivation Code:
Reactivation Date:2023-11-03
Provider Licenses
StateLicense IDTaxonomies
MO2018040092363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily