Provider Demographics
NPI:1548559685
Name:MOONEY, REBECCA A (APN)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:A
Last Name:MOONEY
Suffix:
Gender:F
Credentials:APN
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:345 23RD AVE N
Mailing Address - Street 2:SUITE 401
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1513
Mailing Address - Country:US
Mailing Address - Phone:615-321-4740
Mailing Address - Fax:615-320-0240
Practice Address - Street 1:345 23RD AVE N
Practice Address - Street 2:SUITE 401
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1513
Practice Address - Country:US
Practice Address - Phone:615-321-4740
Practice Address - Fax:615-320-0240
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN15567363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health