Individual
TAMMY R. HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
725 HOLLY LN, WAVERLY, TN 37185-3284
(931) 296-2231
(931) 296-4590
Mailing address
725 HOLLY LN, WAVERLY, TN 37185-3284
(931) 296-2231
(931) 296-4590
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
53663
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53663
LPN
TN
Enumeration date
10/12/2007
Last updated
10/12/2007
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