Healthcare Provider Details

I. General information

NPI: 1174933543
Provider Name (Legal Business Name): CHRISTOPHER LUCYNSKI MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CHRIS LUCYNSKI

II. Dates (important events)

Enumeration Date: 05/06/2014
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 FORREST CROSSING BLVD STE 102
FRANKLIN TN
37064-5454
US

IV. Provider business mailing address

103 FORREST CROSSING BLVD STE 102
FRANKLIN TN
37064-5454
US

V. Phone/Fax

Practice location:
  • Phone: 334-343-0079
  • Fax:
Mailing address:
  • Phone: 334-343-0079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number42055
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number267697
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: