Healthcare Provider Details

I. General information

NPI: 1275998577
Provider Name (Legal Business Name): NATASHA Y GOINS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATASHA YANCEY NP-C

II. Dates (important events)

Enumeration Date: 12/31/2015
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7705 POPLAR AVE STE 220
GERMANTOWN TN
38138-3930
US

IV. Provider business mailing address

1211 UNION AVE STE 330
MEMPHIS TN
38104-6655
US

V. Phone/Fax

Practice location:
  • Phone: 901-516-6792
  • Fax: 901-266-6459
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20913
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: