Provider Demographics
NPI:1164613907
Name:BYRD, JESSICA LYNN (WHNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNN
Last Name:BYRD
Suffix:
Gender:F
Credentials:WHNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SNAKE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37022-4672
Mailing Address - Country:US
Mailing Address - Phone:615-497-6874
Mailing Address - Fax:
Practice Address - Street 1:156 N WATER AVE STE 3
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2846
Practice Address - Country:US
Practice Address - Phone:615-524-1022
Practice Address - Fax:888-244-1057
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17195363LW0102X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health