Provider Demographics
NPI:1710407291
Name:SCOTT, TONYA ADAMS (MSN, APRN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:ADAMS
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MSN, APRN, NP-C
Other - Prefix:MS
Other - First Name:TONYA
Other - Middle Name:NICOLE
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:PO BOX 742616
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2616
Mailing Address - Country:US
Mailing Address - Phone:770-219-8420
Mailing Address - Fax:
Practice Address - Street 1:1211 SHERWOOD PARK DR NE STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501
Practice Address - Country:US
Practice Address - Phone:770-219-3202
Practice Address - Fax:770-219-3209
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN198418363LF0000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily