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Individual

TAMMIE GAINEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, PMHNP

Contact information

Practice address
523 ROCKINGHAM RD, ROCKINGHAM, NC 28379
(910) 562-9882
(910) 562-9955
Mailing address
PO BOX 1825, ROCKINGHAM, NC 28380-1825
(910) 562-9882
(910) 562-9955

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5003992
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5003992
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010178762
VA
Enumeration date
04/25/2006
Last updated
09/19/2018
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