Provider Demographics
NPI:1861759078
Name:PARKER, ERIN KECKLEY (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:KECKLEY
Last Name:PARKER
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:CHRISTINE
Other - Last Name:KECKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN, FNP-C
Mailing Address - Street 1:5552 FRANKLIN PIKE
Mailing Address - Street 2:STE 100
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220
Mailing Address - Country:US
Mailing Address - Phone:615-383-8260
Mailing Address - Fax:615-966-5286
Practice Address - Street 1:5552 FRANKLIN PIKE
Practice Address - Street 2:STE 100
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220
Practice Address - Country:US
Practice Address - Phone:615-383-8260
Practice Address - Fax:615-222-1410
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16468363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1528426Medicaid