Individual
TONYA L NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7675 WOLF RIVER CIR, SUITE#202, GERMANTOWN, TN 38138
(901) 737-3021
(901) 521-6405
Mailing address
7675 WOLF RIVER CIR, CIRCLE SUITE#202, GERMANTOWN, TN 38138-1750
(901) 737-3021
(901) 521-6405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000015718
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08031269
—
MS
05
—
1417256637
—
MO
05
—
1528835
—
TN
01
—
A810396
STATE LICENSE
MS
01
—
APN0000015718
STATE LICENSE
TN
Enumeration date
03/28/2011
Last updated
10/08/2018
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