Provider Demographics
NPI:1134545197
Name:CHINNADURAI, KELSEY ANNE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:ANNE
Last Name:CHINNADURAI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:KELSEY
Other - Middle Name:ANNE
Other - Last Name:KOSSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:719 THOMPSON LANE, SUITE 22209
Mailing Address - Street 2:ONE HUNDRED OAKS
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-7901
Mailing Address - Country:US
Mailing Address - Phone:615-322-4311
Mailing Address - Fax:
Practice Address - Street 1:719 THOMPSON LANE, SUITE 22209
Practice Address - Street 2:ONE HUNDRED OAKS
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-7901
Practice Address - Country:US
Practice Address - Phone:615-322-4311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000018062363L00000X
TNAPN18062363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner