Provider Demographics
NPI:1760605489
Name:MCLAUGHLIN, TONYA R (FNP)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:R
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:127 CRESTVIEW PARK DR STE 209
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2856
Mailing Address - Country:US
Mailing Address - Phone:615-441-4478
Mailing Address - Fax:615-446-1357
Practice Address - Street 1:111 HIGHWAY 70 E STE 102
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2080
Practice Address - Country:US
Practice Address - Phone:615-375-1531
Practice Address - Fax:615-375-1526
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2021-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN147581163W00000X
TN17773363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN17773OtherAPN
TN147581OtherRN