Provider Demographics
NPI:1295935831
Name:CHRISTIAN, CAROLYN B (RN)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:B
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 SILVER LAKE RD
Mailing Address - Street 2:PO BOX 209
Mailing Address - City:CHURCH HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37642-3516
Mailing Address - Country:US
Mailing Address - Phone:423-357-5341
Mailing Address - Fax:423-357-2231
Practice Address - Street 1:247 SILVER LAKE RD
Practice Address - Street 2:
Practice Address - City:CHURCH HILL
Practice Address - State:TN
Practice Address - Zip Code:37642-3516
Practice Address - Country:US
Practice Address - Phone:423-357-5341
Practice Address - Fax:423-357-2231
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000095748163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNRN0000095748OtherNURSING LICENSE