Provider Demographics
NPI:1750766382
Name:FITZPATRICK, EMILY SHAYE (NP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:SHAYE
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:641 HIGHWAY 52 BYP W
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37083-2685
Mailing Address - Country:US
Mailing Address - Phone:615-622-6631
Mailing Address - Fax:
Practice Address - Street 1:641 HIGHWAY 52 BYP W
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:TN
Practice Address - Zip Code:37083-2685
Practice Address - Country:US
Practice Address - Phone:615-622-6631
Practice Address - Fax:877-550-1906
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000020101363LX0001X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology