Provider Demographics
NPI:1215044052
Name:FEATHERSTON, TONNY DEMENT (APRN)
Entity Type:Individual
Prefix:MS
First Name:TONNY
Middle Name:DEMENT
Last Name:FEATHERSTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:TONNY
Other - Middle Name:MCCREA
Other - Last Name:DEMENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:TONNY DEMENT FEATHERSTON PIGGOTT COMMUNITY HOSPITAL
Mailing Address - Street 2:1206 GORDON DUCKWORTH DR
Mailing Address - City:PIGGOTT
Mailing Address - State:AR
Mailing Address - Zip Code:72454-1911
Mailing Address - Country:US
Mailing Address - Phone:870-598-3881
Mailing Address - Fax:870-598-5716
Practice Address - Street 1:PIGGOTT COMMUNITY HOSPITAL
Practice Address - Street 2:1206 GORDON DUCKWORTH DR
Practice Address - City:PIGGOTT
Practice Address - State:AR
Practice Address - Zip Code:72454-1911
Practice Address - Country:US
Practice Address - Phone:870-598-3881
Practice Address - Fax:870-598-5716
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA001753363LF0000X
ARA01753363LF0000X
MO147859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0385718-22OtherANCC
ARQ15887Medicare UPIN