Healthcare Provider Details

I. General information

NPI: 1962312942
Provider Name (Legal Business Name): LAUREN PARSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 WALKER ST
SPARTA TN
38583-1725
US

IV. Provider business mailing address

771 TABERNACLE RD
SMITHVILLE TN
37166-6359
US

V. Phone/Fax

Practice location:
  • Phone: 931-836-2201
  • Fax:
Mailing address:
  • Phone: 615-633-2127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number105454
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: