Provider Demographics
NPI:1558766196
Name:BYERS, BRYNN ATCHLEY (CRNP-AC)
Entity Type:Individual
Prefix:MRS
First Name:BRYNN
Middle Name:ATCHLEY
Last Name:BYERS
Suffix:
Gender:F
Credentials:CRNP-AC
Other - Prefix:MISS
Other - First Name:BRYNN
Other - Middle Name:ELIZABETH
Other - Last Name:ATCHLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP-AC
Mailing Address - Street 1:910 BLACKFORD STREET
Mailing Address - Street 2:MASSOUD 400
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403
Mailing Address - Country:US
Mailing Address - Phone:423-778-3055
Mailing Address - Fax:423-778-8294
Practice Address - Street 1:910 BLACKFORD STREET
Practice Address - Street 2:MASSOUD 400
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403
Practice Address - Country:US
Practice Address - Phone:423-778-3055
Practice Address - Fax:423-778-8294
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19239363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics