Provider Demographics
NPI:1699481622
Name:PAINTER, CYNTHIA ELAINE (FNP-C)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ELAINE
Last Name:PAINTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:ELAINE
Other - Last Name:DAMRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1440 CEDAR LN
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-2485
Practice Address - Country:US
Practice Address - Phone:931-461-1101
Practice Address - Fax:931-222-4131
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33418207V00000X, 363LF0000X
TNF01230098363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner