Individual
TONIA L. HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 NORTHCREST DR, SPRINGFIELD, TN 37172-3927
(615) 384-2411
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
(865) 292-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN7691
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78012994
—
KY
01
—
P00287097
RAILROAD MEDICARE
TN
Enumeration date
06/07/2006
Last updated
10/29/2014
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