Individual
MS. TAMMY JO AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
15146 16TH AVE, MARNE, MI 49435-9605
(844) 776-9651
Mailing address
15146 16TH AVE, MARNE, MI 49435-9605
(844) 776-9651
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704138944
MI
363LF0000X
Family Nurse Practitioner
4704138944
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255331583
—
MI
Enumeration date
05/31/2007
Last updated
09/03/2024
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