Healthcare Provider Details

I. General information

NPI: 1295166304
Provider Name (Legal Business Name): RHONDA MARNAE BARTINE PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RHONDA MARNAE CURTISS RN

II. Dates (important events)

Enumeration Date: 11/29/2013
Last Update Date: 11/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6107 PINEWOOD RD
NUNNELLY TN
37137-2523
US

IV. Provider business mailing address

PO BOX 38
NUNNELLY TN
37137-0038
US

V. Phone/Fax

Practice location:
  • Phone: 931-994-8761
  • Fax: 931-919-1240
Mailing address:
  • Phone: 931-994-8761
  • Fax: 931-919-1240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number18160
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: