Individual
MRS. TAMMIE LYNN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1600 11TH ST, WICHITA FALLS, TX 76301-4300
(940) 447-3151
(940) 264-9900
Mailing address
1600 11TH ST, WICHITA FALLS, TX 76301-4300
(940) 447-3151
(940) 264-9900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
687116
TX
363LA2100X
Acute Care Nurse Practitioner
687116
TX
Other
Enumeration date
01/20/2012
Last updated
11/17/2021
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