Individual
JONI LYNN VASTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
660 S MOUNT JULIET RD STE 220, MT JULIET, TN 37122-3920
(615) 885-1093
Mailing address
ONE GI CREDENTIALING DEPARTMENT, PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19349
TN
363LF0000X
Family Nurse Practitioner
Primary
19349
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q010075
—
TN
Enumeration date
11/05/2014
Last updated
02/25/2026
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