Provider Demographics
NPI:1922307206
Name:TONEY, TERRY D (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:TERRY
Middle Name:D
Last Name:TONEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:472 RANKIN DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-6568
Mailing Address - Country:US
Mailing Address - Phone:828-652-1400
Mailing Address - Fax:828-659-7829
Practice Address - Street 1:472 RANKIN DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-6568
Practice Address - Country:US
Practice Address - Phone:828-652-1400
Practice Address - Fax:828-659-7829
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005099363LF0000X, 363L00000X
NC158625363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7004962Medicaid
SCNP1829Medicaid
NCNC2361AOtherMEDICARE PTAN
NC1922307206Medicaid
SCNP1829Medicaid
NCNC2361DMedicare PIN
NC1922307206Medicaid
NCNC2361GMedicare PIN
NCNC2361AOtherMEDICARE PTAN
NC7004962Medicaid
NCNC2361EMedicare PIN