Individual provider · Type 1 NPI
Destiny Shay Southern, FNP-BC
Primary Care Nurse Practitioner · Santa Fe, TN
NPI number
1790609394
Active
Practice location
2984 Fly Rd
Santa Fe, TN 38482-3111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 41825 (TN) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1790609394
Destiny Shay Southern, FNP-BC's National Provider Identifier is 1790609394, issued on Aug 6, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Santa Fe, TN. The record was last updated on Aug 6, 2026.