Jennings, Tammy Lynne

Jennings, Tammy Lynne is an individual health care provider with primary practice located at 301 Professional Park Dr , Glasgow KY 42141-3487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jennings, Tammy Lynne can be contacted via phone (270) 651-9696.

Contact Information

Primary practice address
301 Professional Park Dr Glasgow KY 42141-3487
Fax: (270) 651-0385
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3002155 Kentucky

Profile Details

NPI number 1831172089
LBN Legal business name Jennings, Tammy Lynne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated May 17th, 2016 - about 8 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 1831172089 NPPES
Kentucky MEDICAID 78003993

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