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NPI Code Detail

MEDICARE: MRS. MEGAN LYNN ESSARY

MEDICARE: MRS. MEGAN LYNN ESSARY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered Nurse0000209104TN
2363LF0000XFamily Nurse Practitioner29703TN

General Provider Information

NPI Number : 1184205619
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN LYNN ESSARY
Provider Business Mailing Address
First Line : 157 W CHURCH ST
Second Line :
City : LEXINGTON
State : TN
Zip : 38351-2011
Country : US
Telephone Number : 731-968-8182
Fax Number : 731-968-8185
Provider Business Practice Location Address
First Line : GOODWIN CHILDREN'S CLINIC
Second Line : 157 WEST CHURCH ST
City : LEXINGTON
State : TN
Zip : 38351-3835
Country : US
Telephone Number : 731-968-8182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2021
Last Update Date : 08/10/2023

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Directions to “ MRS. MEGAN LYNN ESSARY ” Practice Location

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