KRYSTAL LYNN PULLEY (NPI# 1366984841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366984841 |
| Entity Type | Individual |
| Full Name | KRYSTAL LYNN PULLEY |
| Other Name | KRYSTAL LYNN RYE |
| Credential | R.N. |
| Practice Address |
330 Pageant Lane Clarksville TN 37040 |
| Mailing Address |
P.o. Box 66 121 Meadow Lane Dover TN 37058 |
| Practice Telephone | 9316271307 |
| Mailing Telephone | 9316271307 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN156503 | TN | Nursing Service Providers |
| Street Address |
330 PAGEANT LANE |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972143022 | Sheldon Wharton | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2020-01-07 |
| 1033753900 | Jennifer Chunn | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2019-11-04 |
| 1689216640 | Emily Nicole Howell | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2019-10-11 |
| 1891347860 | Shawnna Michelle Kirkland | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2019-07-10 |
| 1659833531 | Ashley M Elliott | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2019-04-01 |
| 1639533003 | Chantella Jackson | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2016-04-11 |
| 1760842207 | Ruth Edith Gallagher | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2016-02-25 |
| 1285006122 | Wendi Jones | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2015-10-29 |
| 1669848057 | Danielle Fuller | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2015-08-19 |
| 1871914267 | Jessica Mcclelland | Registered Nurse | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2014-01-02 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on KRYSTAL LYNN PULLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.