Provider Demographics
NPI:1275998577
Name:GOINS, NATASHA Y (FNP)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:Y
Last Name:GOINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:
Other - Last Name:YANCEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:DEPT #457
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0457
Mailing Address - Country:US
Mailing Address - Phone:901-275-3662
Mailing Address - Fax:901-271-0155
Practice Address - Street 1:7945 WOLF RIVER BLVD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1762
Practice Address - Country:US
Practice Address - Phone:901-609-3520
Practice Address - Fax:901-266-6415
Is Sole Proprietor?:No
Enumeration Date:2015-12-31
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20913363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily