Provider Demographics
NPI:1184205619
Name:ESSARY, MEGAN LYNN
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:LYNN
Last Name:ESSARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 W CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-2011
Mailing Address - Country:US
Mailing Address - Phone:731-968-8182
Mailing Address - Fax:731-968-8185
Practice Address - Street 1:GOODWIN CHILDREN'S CLINIC
Practice Address - Street 2:157 WEST CHURCH ST
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-3835
Practice Address - Country:US
Practice Address - Phone:731-968-8182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000209104163WC0200X
TN29703363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine