MEDICARE: TATIANA VORONCHIKHINA MSN, BA, APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WM0102X	Maternal Newborn Registered Nurse	0000180639	TN
2	363LF0000X	Family Nurse Practitioner	19839	TN

General Provider Information

NPI Number	:	1275928004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TATIANA VORONCHIKHINA MSN, BA, APRN, FNP-C

Provider Business Mailing Address
First Line	:	9145 FOREST WIND DR
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-9390
Country	:	US
Telephone Number	:	901-496-8282
Fax Number	:

Provider Business Practice Location Address
First Line	:	9608 DALY DR
Second Line	:
City	:	LAKELAND
State	:	TN
Zip	:	38002-4286
Country	:	US
Telephone Number	:	901-878-9608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	05/28/2026

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