Provider Demographics
NPI:1881496727
Name:LYERLY, CAITLYN (PA-C)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:LYERLY
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 APPLEGROVE CIR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-2821
Mailing Address - Country:US
Mailing Address - Phone:205-504-4838
Mailing Address - Fax:
Practice Address - Street 1:400 GOODYS LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-1914
Practice Address - Country:US
Practice Address - Phone:865-251-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant