Individual
TAMIKO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 HIGHWAY 51 S, RIPLEY, TN 38063-4583
(731) 635-9711
Mailing address
93 HANCOCK RD, RIPLEY, TN 38063-6437
(731) 635-2919
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000073973
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164WOOOOOX
626001445
TN
Enumeration date
12/18/2015
Last updated
06/08/2016
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