Provider Demographics
NPI:1922719897
Name:SCHAFFER, MADISON KAY (FNP)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:KAY
Last Name:SCHAFFER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 CABOT DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-4795
Mailing Address - Country:US
Mailing Address - Phone:865-216-6599
Mailing Address - Fax:
Practice Address - Street 1:649 PHILADELPHIA ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-5543
Practice Address - Country:US
Practice Address - Phone:865-216-6599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32404363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily