Wilson, Tonya Henry

Wilson, Tonya Henry is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 200 , Johnson City TN 37604-2364. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wilson, Tonya Henry can be contacted via phone (423) 794-1300.

Contact Information

Primary practice address
301 Med Tech Pkwy Ste 200 Johnson City TN 37604-2364
Phone: (423) 794-1300
Fax: (423) 794-1820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7633 Tennessee

Profile Details

NPI number 1225034721
LBN Legal business name Wilson, Tonya Henry
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jan 20th, 2016 - about 8 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 1225034721 NPPES
Tennessee MEDICAID 3349326
Tennessee Other 4070554

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