Provider Demographics
NPI:1043646219
Name:TOMLINSON, LORI HONEYCUTT (FNP-BC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:HONEYCUTT
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:HONEYCUTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:4230 HARDING PIKE STE 330
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2018
Mailing Address - Country:US
Mailing Address - Phone:615-269-4545
Mailing Address - Fax:615-565-6748
Practice Address - Street 1:4230 HARDING PIKE STE 330
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2018
Practice Address - Country:US
Practice Address - Phone:615-269-4545
Practice Address - Fax:615-565-6789
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17915363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6012067OtherBLUE CROSS/BLUE SHIELD
TNQ010583Medicaid
TNP01376524OtherRR MEDICARE
TN6012067OtherBLUE CROSS/BLUE SHIELD