Provider Demographics
NPI:1699366070
Name:PICKENS, CARYN LYNN (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CARYN
Middle Name:LYNN
Last Name:PICKENS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1502
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TN
Mailing Address - Zip Code:37865-1502
Mailing Address - Country:US
Mailing Address - Phone:423-353-2339
Mailing Address - Fax:
Practice Address - Street 1:2656 PARKWAY STE 4
Practice Address - Street 2:
Practice Address - City:PIGEON FORGE
Practice Address - State:TN
Practice Address - Zip Code:37863-3392
Practice Address - Country:US
Practice Address - Phone:423-353-2339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000028702363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily