Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Pruckner, PA-C

Individual provider Physician Assistant · NPI 1659977155

Carly Pruckner, PA-C is a Physician Assistant in Nashville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2020.

Licensed in
TN
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1624 Riverside Dr
Nashville, TN 37216-4012
Phone: (814) 440-1977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4369 (TN)

Record details

NPI number1659977155
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2020
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023

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