Provider Demographics
NPI:1821330424
Name:GARNER, KATY LYNN (CRNP)
Entity Type:Individual
Prefix:
First Name:KATY
Middle Name:LYNN
Last Name:GARNER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 STONE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:AL
Mailing Address - Zip Code:35648-3982
Mailing Address - Country:US
Mailing Address - Phone:256-272-8066
Mailing Address - Fax:256-272-8375
Practice Address - Street 1:1119 E COLLEGE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478
Practice Address - Country:US
Practice Address - Phone:931-207-8630
Practice Address - Fax:931-207-8629
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1108996363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner