| Doctor Name: | TAINA OVCHINNIKOV |
| NPI Number: | 1396085080 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 17421 |
| Business Practice Address: | 5148 Murfreesboro Rd La Vergne, TN - 370862712 |
| Business Phone Number: | 6152132273 |
| Business Fax Number: | 6152132271 |
| Mailing Address: | 2120 Lebanon Pike Apt 58, NASHVILLE |
| State: | TN |
| Postal Code: | 372102442 |
| Phone Number: | 6154246172 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2013 |
| NPI Last Update Date: | 07/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 17421 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |