Basic Information
Provider Information
NPI: 1700423225
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINLEY
FirstName: TONDEEKIA
MiddleName: ARMEREL
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1493
Address2:  
City: PRINCETON
State: TX
PostalCode: 754071493
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4055 VALLEY VIEW LN STE 400
Address2:  
City: DALLAS
State: TX
PostalCode: 752445071
CountryCode: US
TelephoneNumber: 9727153800
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/03/2019
LastUpdateDate: 08/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP137504TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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