Provider Demographics
NPI:1366786428
Name:INGLE, CASEY E (FNP)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:E
Last Name:INGLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:E
Other - Last Name:LAMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, FNP
Mailing Address - Street 1:441 DONELSON PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3568
Mailing Address - Country:US
Mailing Address - Phone:615-367-1444
Mailing Address - Fax:
Practice Address - Street 1:1412 TROTWOOD AVE
Practice Address - Street 2:SUITE 39
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4968
Practice Address - Country:US
Practice Address - Phone:931-490-0832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16989363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily