Provider Demographics
NPI:1326614611
Name:SELLS, ABIGAIL (FNP-C)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:SELLS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 TWILIGHT DR
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38572-5564
Mailing Address - Country:US
Mailing Address - Phone:815-953-5527
Mailing Address - Fax:
Practice Address - Street 1:1645 S MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-5998
Practice Address - Country:US
Practice Address - Phone:931-484-7531
Practice Address - Fax:931-484-1795
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNF05210942363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily