DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVY LEE MASSENGALE, PA-C

Active

IVY LEE MASSENGALE, PA-C is a Physician Assistant healthcare provider located in LA FOLLETTE, Tennessee. NPI 1689223489 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LA FOLLETTE, TN

Registration Details

NPI Number
1689223489
Provider Type
Individual
Gender
Female
NPI Issued
Sep 5, 2019 (6.7555003224364 yrs)
Last Updated
Dec 31, 2019
License
934 (TN)

Practice Information

Address
923 E CENTRAL AVE
LA FOLLETTE, TN, 377662768
Browse TN providers · Browse ZIP 37766
Phone
4239071200
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LA FOLLETTE, TN

Name Credential NPI
MS. GRETCHEN JILLIAN NITZ PA-C 1508856873
MRS. RONDA K PYLES PA-C 1689613705
KENNETH MICHAEL SANDERS PA-C 1578502696
KIMBERLY JEAN ROSE P.A. 1851610356
HEATHER E. GRIEVE PA-C 1679848964
ALICIA NOEL TAYLOR PA-C, MPAS 1861892424
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.