=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871882431
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAROLYN YVONNE PULLEY NURSE PRACTITIONER,
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/05/2011
-----------------------------------------------------
Last Update Date | 01/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | PERRY COUNTY MEDICAL CENTER 115 BROOKLYN AVENUE
-----------------------------------------------------
City | LINDEN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37096
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 931-589-2104
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PERRY COUNTY MEDICAL CENTER 115 BROOKLYN AVENUE
-----------------------------------------------------
City | LINDEN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37096
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 931-589-2104
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 15548
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 171000000X
-----------------------------------------------------
Taxonomy Name | Military Health Care Provider
-----------------------------------------------------
License Number | 15548
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 158479
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------