Provider Demographics
NPI:1679211650
Name:LOWERY, CAROLYN NICOLE (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:NICOLE
Last Name:LOWERY
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3149 FRIARS BRIDGE PASS
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2169
Mailing Address - Country:US
Mailing Address - Phone:918-510-5895
Mailing Address - Fax:
Practice Address - Street 1:4323 CAROTHERS PKWY STE 501
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5920
Practice Address - Country:US
Practice Address - Phone:615-791-8343
Practice Address - Fax:615-591-2551
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000222200163W00000X
TN31756363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse