Individual
TAMMY LIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 WEST NEELY AVE, MUNCIE, IN 47306-0001
(765) 285-8431
(765) 285-1103
Mailing address
1500 WEST NEELY AVE, MUNCIE, IN 47306-0001
(765) 285-8431
(765) 285-1103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001991A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200541600
—
IN
Enumeration date
03/14/2006
Last updated
08/01/2024
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