Provider Demographics
NPI:1346588167
Name:LAFFERTY, RHONDA JEAN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:JEAN
Last Name:LAFFERTY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 ATTAWAY RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-7117
Mailing Address - Country:US
Mailing Address - Phone:931-387-2605
Mailing Address - Fax:615-810-8441
Practice Address - Street 1:118 HIGHWAY 70 E
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-7039
Practice Address - Country:US
Practice Address - Phone:615-810-8440
Practice Address - Fax:615-810-8441
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000017034363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily