Provider Demographics
NPI:1275998577
Name:GOINS, NATASHA Y (FNP)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:Y
Last Name:GOINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:
Other - Last Name:YANCEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:1211 UNION AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-6655
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7705 POPLAR AVE STE 220
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3930
Practice Address - Country:US
Practice Address - Phone:901-516-6792
Practice Address - Fax:901-266-6459
Is Sole Proprietor?:No
Enumeration Date:2015-12-31
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20913363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily