Individual
TAMMY GRIFFIN SHIMFESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1471 JAG BRANCH BLVD UNIT 101, KERNERSVILLE, NC 27284-6963
(336) 515-7420
(336) 515-7430
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0003-00103
NC
363L00000X
Nurse Practitioner
Primary
300103
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005674
—
NC
Enumeration date
03/22/2006
Last updated
02/08/2022
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