Healthcare Provider Details

I. General information

NPI: 1275294100
Provider Name (Legal Business Name): CHELSEA COLBY OBIEDZINSKI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2022
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7796 WOLF TRAIL CV STE 201
GERMANTOWN TN
38138-1783
US

IV. Provider business mailing address

7796 WOLF TRAIL CV STE 201
GERMANTOWN TN
38138-1783
US

V. Phone/Fax

Practice location:
  • Phone: 901-261-0700
  • Fax:
Mailing address:
  • Phone: 901-261-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number35119
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number901212
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number905126
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: