Individual
TONYA LYNN FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2650 W BROADWAY, LOUISVILLE, KY 40211-1333
(502) 589-8910
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3013999
KY
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
3013999
KY
Other
Enumeration date
12/02/2019
Last updated
11/09/2020
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