Healthcare Provider Details

I. General information

NPI: 1568013266
Provider Name (Legal Business Name): LYNSEY DANAE MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYNSEY DANAE CHAMBERS LYNSEY MORGAN, FNP-C

II. Dates (important events)

Enumeration Date: 09/24/2019
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 MARYLAND WAY STE 300
BRENTWOOD TN
37027-7516
US

IV. Provider business mailing address

2484 SUGAR GROVE RD
PIONEER TN
37847-2204
US

V. Phone/Fax

Practice location:
  • Phone: 855-246-8607
  • Fax:
Mailing address:
  • Phone: 423-223-4409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number26616
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number26616
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26616
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: