Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 22299 | TN |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 22299 | TN |
NPI | 1023540291 |
---|---|
Provider Name | Hannah Toomey |
First Address | Decatur, TN 37322-7882 |
Second Address | Decatur, TN 37322-7882 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2017 |
Last Update Date | 28/03/2017 |