Healthcare Provider Details

I. General information

NPI: 1215291661
Provider Name (Legal Business Name): MEGAN GREEN PARTON DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN EMILEE GREEN DNP, FNP-C

II. Dates (important events)

Enumeration Date: 06/30/2012
Last Update Date: 10/08/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 KINGS LN
TULLAHOMA TN
37388-5372
US

IV. Provider business mailing address

209 S JEFFERSON ST STE 1042
TULLAHOMA TN
39398-1739
US

V. Phone/Fax

Practice location:
  • Phone: 931-253-7075
  • Fax: 931-208-3530
Mailing address:
  • Phone: 931-253-7075
  • Fax: 931-208-3530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16809
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: