Provider Demographics
NPI:1295166304
Name:BARTINE, RHONDA MARNAE (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:MARNAE
Last Name:BARTINE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MS
Other - First Name:RHONDA
Other - Middle Name:MARNAE
Other - Last Name:CURTISS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:NUNNELLY
Mailing Address - State:TN
Mailing Address - Zip Code:37137-0038
Mailing Address - Country:US
Mailing Address - Phone:931-994-8761
Mailing Address - Fax:931-919-1240
Practice Address - Street 1:6107 PINEWOOD RD
Practice Address - Street 2:
Practice Address - City:NUNNELLY
Practice Address - State:TN
Practice Address - Zip Code:37137-2523
Practice Address - Country:US
Practice Address - Phone:931-994-8761
Practice Address - Fax:931-919-1240
Is Sole Proprietor?:No
Enumeration Date:2013-11-29
Last Update Date:2013-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18160363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health