Provider Demographics
NPI:1770636474
Name:TOBEY, BETH G (FNP APRN-BC)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:G
Last Name:TOBEY
Suffix:
Gender:F
Credentials:FNP APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 POOLE RD
Mailing Address - Street 2:
Mailing Address - City:MOSCOW
Mailing Address - State:TN
Mailing Address - Zip Code:38057-8449
Mailing Address - Country:US
Mailing Address - Phone:901-355-7623
Mailing Address - Fax:
Practice Address - Street 1:2028 W POPLAR AVE STE 111
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-0618
Practice Address - Country:US
Practice Address - Phone:901-850-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000005592363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ013399Medicaid
TNQ22016Medicare UPIN