Healthcare Provider Details

I. General information

NPI: 1790642593
Provider Name (Legal Business Name): TONYA JERMICA BILLIPS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 5071 4408 SIJAN DR.
APO AP
96328-5071
US

IV. Provider business mailing address

UNIT 5071 4408 SIJAN DRIVE
APO AP
96328-5071
US

V. Phone/Fax

Practice location:
  • Phone: 254-681-6531
  • Fax:
Mailing address:
  • Phone: 254-681-6531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024184109
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: