Provider Demographics
NPI:1023783339
Name:SELLINGER, TONYA NICOLE (PMHNP)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:NICOLE
Last Name:SELLINGER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 TOPFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-4464
Mailing Address - Country:US
Mailing Address - Phone:502-851-1972
Mailing Address - Fax:
Practice Address - Street 1:110 HELM ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-1496
Practice Address - Country:US
Practice Address - Phone:270-506-2967
Practice Address - Fax:270-900-1674
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3016463363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health