Healthcare Provider Details

I. General information

NPI: 1265898282
Provider Name (Legal Business Name): TONYA FREEMAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2016
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 S MAIN ST
MIDDLETON TN
38052-3615
US

IV. Provider business mailing address

111 FRONT ST
HENDERSON TN
38340-2313
US

V. Phone/Fax

Practice location:
  • Phone: 731-837-5028
  • Fax: 731-837-5027
Mailing address:
  • Phone: 731-989-2829
  • Fax: 731-520-0230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20699
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number20699
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: