Michele Shepherd Tigner, LPN

Individual provider Active NPI Licensed Practical Nurse · Rex, GA

NPI 1851989321 · NPPES record last updated Jan 9, 2021

Key facts

NPI
1851989321
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN077267 (GA)
Practice address
6138 Amberly Rd
Rex, GA 30273-1230
Phone
(678) 665-8221
NPI assigned
Jan 9, 2021
Sex
Female
Sole proprietor
Yes

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
LPN077267GAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN077267 GA Yes

Addresses

Primary practice location

6138 Amberly Rd
Rex, GA 30273-1230

Mailing address

6138 Amberly Rd
Rex, GA 30273-1230
Phone (678) 665-8221

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL PracticeFusion Health Information Exchange (HIE) Accelerated Recovery Centers

Other providers in Rex, GA

All providers in Rex, GA · Licensed Practical Nurse in Georgia

Sources for this page

Verify at the official NPI Registry.