Provider Demographics
NPI:1629432208
Name:CUTLER, YOVONDYA F (FNP-BC)
Entity Type:Individual
Prefix:
First Name:YOVONDYA
Middle Name:F
Last Name:CUTLER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 W DUE WEST AVE STE 97
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-4420
Mailing Address - Country:US
Mailing Address - Phone:615-873-4033
Mailing Address - Fax:615-334-8472
Practice Address - Street 1:607 W DUE WEST AVE STE 97
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-4420
Practice Address - Country:US
Practice Address - Phone:615-873-4033
Practice Address - Fax:615-334-8472
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-08
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21119363L00000X, 363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care