Provider Demographics
NPI:1093375040
Name:NOLAN, SCARLETT (MSN APRN FNP-C)
Entity type:Individual
Prefix:
First Name:SCARLETT
Middle Name:
Last Name:NOLAN
Suffix:
Gender:F
Credentials:MSN APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 SHEFFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-7427
Mailing Address - Country:US
Mailing Address - Phone:931-320-0823
Mailing Address - Fax:
Practice Address - Street 1:2224 MADISON ST STE B
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8043
Practice Address - Country:US
Practice Address - Phone:931-503-7015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily