Basic Information
Provider Information
NPI: 1033783774
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAMPLEY
FirstName: HUNTER
MiddleName: LEE
NamePrefix: MR.
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1272 GARRISON DR
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371292598
CountryCode: US
TelephoneNumber: 6158934480
FaxNumber:  
Practice Location
Address1: 1272 GARRISON DR
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371292598
CountryCode: US
TelephoneNumber: 6158934480
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/17/2021
LastUpdateDate: 04/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X29371TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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