Mrs Tonja Myshawne Fogg, LPN is a
Licensed Vocational Nurse based in Nashville, Tennessee. Mrs Tonja Myshawne Fogg is licensed to practice in Tennessee (license number LPN0000066910) and her current practice location is
1310 24th Ave S, Nashville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(615) 327-4751.
NPI number for Mrs Tonja Myshawne Fogg is 1235289034 and her current mailing address is 3113 Greggwood Dr, Nashville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235289034.
Provider's Profile
| Full Name | Mrs Tonja Myshawne Fogg |
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| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 1310 24th Ave S, Nashville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235289034
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Tonja Myshawne Fogg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235289034 | NPI | - | NPPES |
| 0000066910 | Other | TN | LPN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | LPN0000066910 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tonja Myshawne Fogg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Tonja Myshawne Fogg, LPN
3113 Greggwood Dr,
Nashville, TN 37207-2707
Ph: (615) 876-9874 | Mrs Tonja Myshawne Fogg, LPN
1310 24th Ave S,
Nashville, TN 37212-2637
Ph: (615) 327-4751 |
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