Healthcare Provider Details

I. General information

NPI: 1295053510
Provider Name (Legal Business Name): TNESHIA LEA RICHARDS RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2010
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 EAST FORK ROAD
SYLVA NC
28779-8002
US

IV. Provider business mailing address

47 EAST FORK ROAD
SYLVA NC
28779-8002
US

V. Phone/Fax

Practice location:
  • Phone: 286-312-7178
  • Fax: 828-631-9697
Mailing address:
  • Phone: 828-631-2717
  • Fax: 828-631-9697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number210468
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5013326
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: