# SALLIE EARLY HEALTHCARE SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205005097
- **Authorized official:** SALLIE EARLY TUCKER APN (OWNER)
- **Authorized official phone:** (865) 558-1584

## Contact information

- **Practice address:** 1802 NEVA CT, MANDEVILLE, LA 70448-1026
- **Practice address phone:** (865) 588-1584
- **Mailing address:** 1802 NEVA CT, MANDEVILLE, LA 70448-1026
- **Mailing address phone:** (865) 588-1584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | APN0000007667 | TN | — |
| 207Q00000X | Family Medicine Physician | APN0000007667 | TN | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 02/26/2008