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TAMMY BAIRD WHNP

Women's Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1063431781

Individual Registrant:
 TAMMY  BAIRD WHNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
405 SCENIC DR  ROGERSVILLE, TN 37857-2441 US
Tel: 423-272-2111  Fax: 423-224-3233

Contact information for business:
999 EXECUTIVE PARK BLVD SUITE 201 KINGSPORT, TN 37660-4632 US
Tel: 423-224-3258  Fax: 423-224-3258

Registration Information:
NPI: 1063431781
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LW0102XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Women's Health
TNRN94099

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
3907664TN05




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