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NPI Code Detail

MEDICARE: LINDSEY JO CHERNICKY PA

MEDICARE: LINDSEY JO CHERNICKY PA
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
1363A00000XPhysician Assistant4485TN

General Provider Information

NPI Number : 1700475498
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY JO CHERNICKY PA
Provider Business Mailing Address
First Line : 29 TAYLOR AVE STE 101
Second Line :
City : CROSSVILLE
State : TN
Zip : 38555-4536
Country : US
Telephone Number : 931-484-6061
Fax Number :
Provider Business Practice Location Address
First Line : 29 TAYLOR AVE STE 101
Second Line :
City : CROSSVILLE
State : TN
Zip : 38555-4536
Country : US
Telephone Number : 931-484-6061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2021
Last Update Date : 05/27/2026

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Directions to “ LINDSEY JO CHERNICKY PA” Practice Location

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