Provider Demographics
NPI:1740889559
Name:PARNELL, CAITLYN PAIGE (FNP-C)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:PAIGE
Last Name:PARNELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CAITLYN
Other - Middle Name:PAIGE
Other - Last Name:EPPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:311 CHRISSA LN
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-5154
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:233 E GAY ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-4668
Practice Address - Country:US
Practice Address - Phone:615-453-6144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1632342163W00000X
TN35643363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse