Provider Demographics
NPI:1649158007
Name:LYNN, MCAYLA GRACE (MEDICAL ASSISTANT)
Entity type:Individual
Prefix:
First Name:MCAYLA
Middle Name:GRACE
Last Name:LYNN
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:MCAYLA
Other - Middle Name:G
Other - Last Name:LYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 MYERS TOWN RD
Mailing Address - Street 2:
Mailing Address - City:BEERSHEBA SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37305-5010
Mailing Address - Country:US
Mailing Address - Phone:423-602-1688
Mailing Address - Fax:
Practice Address - Street 1:5736 MANCHESTER HWY
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:TN
Practice Address - Zip Code:37357-7503
Practice Address - Country:US
Practice Address - Phone:931-815-3871
Practice Address - Fax:931-815-3876
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNQ8H9X8N8363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical