Javellana, Tammy

Javellana, Tammy is an sole proprietor health care provider with primary practice located at 2017 Saint John Ave Suite B, Dyersburg TN 38024-2209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Javellana, Tammy can be contacted via phone (731) 285-6110.

Contact Information

Primary practice address
2017 Saint John Ave Suite B Dyersburg TN 38024-2209
Phone: (731) 285-6110
Fax: (731) 285-6964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN10445 Tennessee

Profile Details

NPI number 1013112077
LBN Legal business name Javellana, Tammy
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2007
Last updated Mar 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013112077 NPPES
Tennessee Other 1013112077 NPI
Tennessee MEDICAID 1515958 NPI

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