Provider Demographics
NPI:1932627882
Name:TOMLINSON, RAINA KELLY (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:RAINA
Middle Name:KELLY
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:RAINA
Other - Middle Name:KELLY
Other - Last Name:ELDRIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:53 CENTURY BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3693
Mailing Address - Country:US
Mailing Address - Phone:615-346-6213
Mailing Address - Fax:615-346-6225
Practice Address - Street 1:515 STONECREST PKWY STE 230
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6829
Practice Address - Country:US
Practice Address - Phone:615-223-9935
Practice Address - Fax:615-891-5046
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23102363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily