Provider Demographics
NPI:1649326596
Name:HANCE, SONYA N (FNP-C)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:N
Last Name:HANCE
Suffix:
Gender:
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:PO BOX 632476
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2476
Mailing Address - Country:US
Mailing Address - Phone:423-237-6900
Mailing Address - Fax:423-532-8710
Practice Address - Street 1:150 E BROADWAY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-2329
Practice Address - Country:US
Practice Address - Phone:423-237-6900
Practice Address - Fax:423-532-8710
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26150363LF0000X
TNLPN0000067988164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ052679Medicaid