MEDICARE: CHYNAH LYN PARSON

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
1	363L00000X	Nurse Practitioner	288722	TN

General Provider Information

NPI Number	:	1811851629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHYNAH LYN PARSON

Provider Business Mailing Address
First Line	:	7092 PARKBROOK LN
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38018-7929
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7092 PARKBROOK LN
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38018-7929
Country	:	US
Telephone Number	:	901-455-1976
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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