Individual
MRS. TAMMY LYNN RIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1321 CEDAR LANE, TULLAHOMA, TN 37388
(931) 222-4207
Mailing address
2717 EAST OAKLAND AVENUE, JOHNSON CITY, TN 37601-1843
(423) 926-2358
(423) 926-2680
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13429
TN
363LF0000X
Family Nurse Practitioner
APN0000013429
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522635
—
TN
Enumeration date
05/06/2008
Last updated
01/10/2024
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