Eddings, Antonio Lee

Eddings, Antonio Lee is an individual health care provider with primary practice located at 106 E Due West Ave , Madison TN 37115-5202. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Eddings, Antonio Lee can be contacted via phone (615) 870-5772.

Contact Information

Primary practice address
106 E Due West Ave Madison TN 37115-5202
Phone: (615) 870-5772
Fax: (615) 870-5772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN0000017355 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN001773 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN001773 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000017355 Tennessee

Profile Details

NPI number 1821491929
LBN Legal business name Eddings, Antonio Lee
Credentials FNP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2014
Last updated Aug 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821491929 NPPES
Tennessee MEDICAID Q026921

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