Provider Demographics
NPI:1083201925
Name:SPEARMAN, TONESHA (RN)
Entity Type:Individual
Prefix:
First Name:TONESHA
Middle Name:
Last Name:SPEARMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100A WINDMILL CV
Mailing Address - Street 2:
Mailing Address - City:GRENADA
Mailing Address - State:MS
Mailing Address - Zip Code:38901-9304
Mailing Address - Country:US
Mailing Address - Phone:662-417-3830
Mailing Address - Fax:
Practice Address - Street 1:100A WINDMILL CV
Practice Address - Street 2:
Practice Address - City:GRENADA
Practice Address - State:MS
Practice Address - Zip Code:38901-9304
Practice Address - Country:US
Practice Address - Phone:662-417-3830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS891990163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical