Healthcare Provider Details

I. General information

NPI: 1346999554
Provider Name (Legal Business Name): HUNTER LAYKEN LANE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HUNTER LAYKEN SHRUM FNP-BC

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4128 OLD JACKSON RD
BELLS TN
38006-4261
US

IV. Provider business mailing address

515 GREENWOOD DR
LAFAYETTE TN
37083-1021
US

V. Phone/Fax

Practice location:
  • Phone: 731-394-1145
  • Fax: 844-374-0233
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number30879
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: