Provider Demographics
NPI:1962614867
Name:SOLE, CYNTHIA ANN (RN, FNP-C)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:SOLE
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ENON SPRINGS RD E
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-3009
Mailing Address - Country:US
Mailing Address - Phone:615-355-0100
Mailing Address - Fax:
Practice Address - Street 1:211 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3024
Practice Address - Country:US
Practice Address - Phone:615-355-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000007536363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner