Individual provider · Type 1 NPI

Ivy Lee Massengale, PA-C

Physician Assistant · La Follette, TN

NPI number 1689223489 Active

Practice location

923 E Central Ave
La Follette, TN 37766-2768

Call (423) 907-1200 Map

Mailing address

2305 Crystal Spring Ln
Hermitage, TN 37076-4196

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X934 (TN)
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1689223489

Ivy Lee Massengale, PA-C's National Provider Identifier is 1689223489, issued on Sep 5, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in La Follette, TN. The record was last updated on Dec 31, 2019.