Provider Demographics
NPI:1598941866
Name:LAMPLEY, DEBORAH E (APN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:E
Last Name:LAMPLEY
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 1:7865 EDUCATORS LN
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-8191
Mailing Address - Country:US
Mailing Address - Phone:901-384-9920
Mailing Address - Fax:901-937-7879
Practice Address - Street 1:7865 EDUCATORS LN
Practice Address - Street 2:SUITE 300
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-8191
Practice Address - Country:US
Practice Address - Phone:901-384-9920
Practice Address - Fax:901-937-7879
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000013105363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1508354Medicaid