Provider Demographics
NPI:1801983937
Name:MOORE-DAVIS, TONIA L (CNM)
Entity type:Individual
Prefix:MRS
First Name:TONIA
Middle Name:L
Last Name:MOORE-DAVIS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MISS
Other - First Name:TONIA
Other - Middle Name:L
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-936-2000
Mailing Address - Fax:
Practice Address - Street 1:2611 WEST END AVENUE
Practice Address - Street 2:SUITE 380
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-6013
Practice Address - Country:US
Practice Address - Phone:615-936-5858
Practice Address - Fax:615-936-2600
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN11378367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q06842Medicare UPIN