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1952614570 NPI number — TONGULA DAVIS CPNP-AC

NPI Number: 1952614570
Health Care Provider/Practitioner: TONGULA DAVIS CPNP-AC

Information about “1952614570” NPI (TONGULA DAVIS CPNP-AC) exists in 1952614570 in HTML format HTML  |  1952614570 in plain Text format TXT  |  1952614570 in PDF (Portable Document Format) PDF  |  1952614570 in an XML format XML  formats.

NPI Number : 1952614570 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952614570",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "TONGULA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CPNP-AC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DAVIS",
    "OtherFirstName": "TONI",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CPNP-AC",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "225 E WASHINGTON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JONESBORO",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72401-3111",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "870-207-4392",
    "MailingAddressFaxNumber": "870-935-1690",
    "FirstLinePracticeLocationAddress": "225 E WASHINGTON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JONESBORO",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72401-3111",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "870-207-4392",
    "PracticeLocationAddressFaxNumber": "870-935-1690",
    "EnumerationDate": "07/24/2010",
    "LastUpdateDate": "12/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "15037",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "R867724",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LP0222X",
          "TaxonomyName": "Critical Care Pediatric Nurse Practitioner",
          "LicenseNumber": "235270",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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