Provider Demographics
NPI:1356655377
Name:LAMBDIN, CASEY N (APN)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:N
Last Name:LAMBDIN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W MORRIS BLVD
Mailing Address - Street 2:STE. 400G
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-2283
Mailing Address - Country:US
Mailing Address - Phone:423-581-2538
Mailing Address - Fax:423-581-2660
Practice Address - Street 1:420 W MORRIS BLVD
Practice Address - Street 2:STE. 400G
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-2283
Practice Address - Country:US
Practice Address - Phone:423-581-2538
Practice Address - Fax:423-581-2660
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN15116363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I509165Medicare PIN