Individual
TAMMY L WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
725 S MAIN ST, LONDON, KY 40741-1903
(606) 770-5161
(606) 770-5168
Mailing address
43 WACO DR, LONDON, KY 40741-8327
(606) 770-5161
(606) 770-5168
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6097P
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3006097
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000657974
BCBS
KY
Enumeration date
05/05/2009
Last updated
12/30/2024
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