Provider Demographics
NPI:1316298383
Name:MCCORD, LACHANDRA SHERI (FNP)
Entity type:Individual
Prefix:
First Name:LACHANDRA
Middle Name:SHERI
Last Name:MCCORD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 TIMBER CREEK DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-4236
Mailing Address - Country:US
Mailing Address - Phone:901-207-6702
Mailing Address - Fax:901-207-6591
Practice Address - Street 1:150 TIMBER CREEK DR
Practice Address - Street 2:SUITE 2
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4236
Practice Address - Country:US
Practice Address - Phone:901-207-6702
Practice Address - Fax:901-207-6591
Is Sole Proprietor?:No
Enumeration Date:2012-09-30
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000016987363LF0000X
ARA004341363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1529901Medicaid
TN1529901Medicaid