Emma Gammill

Individual provider Active NPI Licensed Practical Nurse · Lynchburg, TN

NPI 1891184016 · NPPES record last updated Jan 12, 2015

Key facts

NPI
1891184016
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN0000075019 (TN)
Practice address
251 Majors Blvd RM 1
Lynchburg, TN 37352-8325
Phone
(931) 759-4251
Fax
(931) 759-6380
NPI assigned
Jan 12, 2015
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
LPN0000075019TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN0000075019 TN Yes

Addresses

Primary practice location

251 Majors Blvd RM 1
Lynchburg, TN 37352-8325

Mailing address

251 Majors Blvd RM 1
Lynchburg, TN 37352-8325
Phone (931) 759-4251

Other identifiers

IdentifierTypeStateIssuer
6401OtherTNHEALTH DEPARTMENT

Other providers in Lynchburg, TN

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

Sources for this page

Verify at the official NPI Registry.