Provider Demographics
NPI:1467885400
Name:RAINEY, ALLISON J (NP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:J
Last Name:RAINEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:J
Other - Last Name:DONOVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:210 HILLWOOD BLVD
Mailing Address - Street 2:1324
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-4002
Mailing Address - Country:US
Mailing Address - Phone:865-556-9322
Mailing Address - Fax:
Practice Address - Street 1:210 HILLWOOD BLVD
Practice Address - Street 2:1324
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4002
Practice Address - Country:US
Practice Address - Phone:865-556-9322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7229363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily