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Individual
TAMMIE WEST GORE
Active
Individual
TAMMIE WEST GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP140315
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29019
RX AUTH. NUMBER
TX
01
—
661956
RN LICENSE NO.
TX
01
—
AP140315
APRN LICENSE NO.
TX
Enumeration date
01/25/2019
Last updated
01/05/2024
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