1215291661 NPI number — MRS. MEGAN GREEN PARTON DNP, FNP-C

Table of content: MRS. MEGAN GREEN PARTON DNP, FNP-C (NPI 1215291661)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215291661 NPI number — MRS. MEGAN GREEN PARTON DNP, FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARTON
Provider First Name:
MEGAN
Provider Middle Name:
GREEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DNP, FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GREEN
Provider Other First Name:
MEGAN
Provider Other Middle Name:
EMILEE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
DNP, FNP-C
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1215291661
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1327
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TULLAHOMA
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37388-1327
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
931-455-2674
Provider Business Mailing Address Fax Number:
931-455-8983

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1715 N JACKSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TULLAHOMA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37388-2231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-673-6737
Provider Business Practice Location Address Fax Number:
800-474-4039
Provider Enumeration Date:
06/30/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  16809 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 16809 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1528967 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".