Provider Demographics
NPI:1457784076
Name:CORLE, CHERYL LOUISE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:LOUISE
Last Name:CORLE
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 1:1414 HOLMES CT
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-8464
Mailing Address - Country:US
Mailing Address - Phone:615-351-9435
Mailing Address - Fax:
Practice Address - Street 1:1414 HOLMES CT
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-8464
Practice Address - Country:US
Practice Address - Phone:615-351-9435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN152948163W00000X
TN17607363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse