Provider Demographics
NPI:1699325316
Name:ASBURY, DAVIDA YVONNE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:DAVIDA
Middle Name:YVONNE
Last Name:ASBURY
Suffix:
Gender:F
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 1:519N MEADOWVIEW LN
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TN
Mailing Address - Zip Code:37322-7719
Mailing Address - Country:US
Mailing Address - Phone:423-596-6190
Mailing Address - Fax:
Practice Address - Street 1:817 COOK DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-3485
Practice Address - Country:US
Practice Address - Phone:423-745-3394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-14
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000150419163WM0102X
TNAPN0000026644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn