Individual
TAMMIE WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
107 GLIDEPATH WAY, LEBANON, TN 37090-4133
(615) 449-5771
(615) 449-5740
Mailing address
107 GLIDEPATH WAY, LEBANON, TN 37090-4133
(615) 449-5771
(615) 449-5771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0000000926
TN
363AM0700X
Medical Physician Assistant
Primary
PA0000000926
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4179722
BCBS
TN
05
—
Q052517
—
TN
Enumeration date
07/06/2006
Last updated
03/31/2026
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