Tammy Javellana in Dyersburg - Family

Tammy Javellana - NPI 1013112077

Tammy Javellana is a Family in Dyersburg, Tennessee. Tammy Javellana practices all healthcare services and medical treatments related to Family. The NPI Number for Tammy Javellana is 1013112077. The last update date is 2013-03-11.

Tammy Javellana's current location address is 2017 Saint John Ave, Dyersburg, Tennessee. You can contact this provider via phone number 7312856110 and fax number 7312856964. The mailing address for Tammy Javellana is 2017 Saint John Ave, Dyersburg, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Tammy Javellana
Address 2017 Saint John Ave, Dyersburg, Tennessee
Phone Number 7312856110
Fax Number 7312856964
Sole Proprietor Y
Credentials F.N.P

NPI Number Detail

NPI Number 1013112077
Provider Enumeration Date 2007-06-19
Last Updated Date 2013-03-11

Provider Mailing Address Detail

Address 2017 Saint John Ave
City Dyersburg
State Tennessee (TN)
Post Code 380242209
Phone Number 7312856110
Fax Number 7312856964

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No APN10445
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1013112077 TN NPI
1515958 TN --

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FAQs about Tammy Javellana

What is the unique identification code assigned to Tammy Javellana by the Centers for Medicare & Medicaid Services?

The Tammy Javellana has been issued the NPI (National Provider Identifier) 1013112077. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Tammy Javellana is geographically located?

The Tammy Javellana is physically situated at the following location: 2017 Saint John Ave, Dyersburg, TN, 380242209.

What is the Tammy Javellana's area of specialization and corresponding taxonomy classification?

The Tammy Javellana's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.

On what date did the Tammy Javellana receive its 1013112077 assignment from the Centers for Medicare & Medicaid Services?

The Tammy Javellana was assigned its 1013112077 by the Centers for Medicare & Medicaid Services on 2007-06-19.

When was the information pertaining to Tammy Javellana most recently updated or revised?

The details related to Tammy Javellana, including its address, specialty, and other relevant information, were last updated or revised on 2013-03-11.

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