Newsom, Tonya L

Newsom, Tonya L is an individual health care provider with primary practice located at 7675 Wolf River Cir Suite#202, Germantown TN 38138. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Newsom, Tonya L can be contacted via phone (901) 737-3021.

Contact Information

Primary practice address
7675 Wolf River Cir Suite#202 Germantown TN 38138
Fax: (901) 521-6405
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000015718 Tennessee

Profile Details

NPI number 1417256637
LBN Legal business name Newsom, Tonya L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2011
Last updated Oct 8th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417256637 NPPES
Missouri MEDICAID 1417256637
Missouri MEDICAID 08031269
Missouri Other APN0000015718
Missouri MEDICAID 1528835
Missouri Other A810396

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