Individual
REBECCA VODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1031 W MADISON AVE, ATHENS, TN 37303-3498
(865) 373-7100
Mailing address
1031 W MADISON AVE, ATHENS, TN 37303-3498
(865) 373-7100
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
11010468
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
35052
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q089350
—
TN
Enumeration date
12/28/2020
Last updated
08/18/2025
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