Tamiko Anderson, LPN

Individual provider Active NPI Licensed Practical Nurse · Ripley, TN

NPI 1376908368 · NPPES record last updated Jun 8, 2016

Key facts

NPI
1376908368
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN0000073973 (TN)
Practice address
500 Highway 51 S
Ripley, TN 38063-4583
Phone
(731) 635-9711
NPI assigned
Dec 18, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN0000073973TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN0000073973 TN Yes

Addresses

Primary practice location

500 Highway 51 S
Ripley, TN 38063-4583

Mailing address

93 Hancock Rd
Ripley, TN 38063-6437
Phone (731) 635-2919

Other identifiers

IdentifierTypeStateIssuer
164WOOOOOXOtherTN626001445

Other providers in Ripley, TN

All providers in Ripley, TN · Licensed Practical Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.