Provider Demographics
NPI:1679947618
Name:BARROW, LAVONIA (FNP-C)
Entity type:Individual
Prefix:
First Name:LAVONIA
Middle Name:
Last Name:BARROW
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:953 BARBARA LYNN DR
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-1403
Mailing Address - Country:US
Mailing Address - Phone:469-128-0053
Mailing Address - Fax:
Practice Address - Street 1:20 BURTON HILLS BLVD STE 500
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-6176
Practice Address - Country:US
Practice Address - Phone:615-787-2050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-13
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN186471163W00000X
TX875368163W00000X
TN27640363L00000X
TXAP130091363L00000X
GAGAA-NP002740363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse