Provider Demographics
NPI:1679563894
Name:PARTON, NANCY G (PA C)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:G
Last Name:PARTON
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:G
Other - Last Name:KIRSCHMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA C
Mailing Address - Street 1:1860 EXECUTIVE PARK PLACE NW
Mailing Address - Street 2:STE B
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312
Mailing Address - Country:US
Mailing Address - Phone:423-476-7584
Mailing Address - Fax:423-476-7586
Practice Address - Street 1:1860 EXECUTIVE PARK PLACE NW
Practice Address - Street 2:STE B
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312
Practice Address - Country:US
Practice Address - Phone:423-476-7584
Practice Address - Fax:423-476-7586
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA0000000751363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3668547Medicare ID - Type Unspecified
TN3668546Medicare ID - Type Unspecified