CHELSY MARIE MCCARROLL FNP-BC NPI 1417656554

NPI Information

  • NPI: 1417656554
  • Provider Name: CHELSY MARIE MCCARROLL, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2147 WILMA RUDOLPH BLVD STE 102
    CLARKSVILLE, TN
    ZIP 37040
  • Phone: (931) 241-4115

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NPI Details

Chelsy Marie Mccarroll, FNP-BC is a family nurse practitioner in Clarksville, TN with 3 years of experience. Chelsy Marie Mccarroll, FNP-BC NPI is 1417656554. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2147 WILMA RUDOLPH BLVD STE 102
CLARKSVILLE, TN
ZIP 37040-798
Phone: (931) 241-4115

The NPI 1417656554 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/27/2023 and was last updated on 8/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily33514TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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