Basic Information
| Provider Information | |||||||||
| NPI: | 1609189216 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EYOH | ||||||||
| FirstName: | UNYIME | ||||||||
| MiddleName: | EDET | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | RN, FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7132 SMOKEY HILL RD | ||||||||
| Address2: | |||||||||
| City: | ANTIOCH | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370134899 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6159412853 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 202 ENON SPRINGS RD E | ||||||||
| Address2: | |||||||||
| City: | SMYRNA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371673011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6156736738 | ||||||||
| FaxNumber: | 8004744039 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2010 | ||||||||
| LastUpdateDate: | 05/02/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN0000150128 | TN | N | Nursing Service Providers | Registered Nurse | 363LF0000X | APN0000015136 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.