Healthcare Provider Details
I. General information
NPI: 1740889559
Provider Name (Legal Business Name): CAITLYN PAIGE PARNELL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/22/2020
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
233 E GAY ST
LEBANON TN
37087-4668
US
IV. Provider business mailing address
1407 W BADDOUR PKWY
LEBANON TN
37087-2513
US
V. Phone/Fax
- Phone: 615-994-1302
- Fax: 615-444-6252
- Phone: 615-444-6203
- Fax: 615-444-6252
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 35643 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: