Provider Demographics
NPI:1215291661
Name:PARTON, MEGAN GREEN (DNP, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:GREEN
Last Name:PARTON
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:EMILEE
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, FNP-C
Mailing Address - Street 1:PO BOX 1327
Mailing Address - Street 2:
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-1327
Mailing Address - Country:US
Mailing Address - Phone:931-455-2674
Mailing Address - Fax:931-455-8983
Practice Address - Street 1:1715 N JACKSON ST
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-2231
Practice Address - Country:US
Practice Address - Phone:615-673-6737
Practice Address - Fax:800-474-4039
Is Sole Proprietor?:No
Enumeration Date:2012-06-30
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16809363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1528967Medicaid
TN103I508280Medicare PIN