Shimfessel, Tammy Griffin
Shimfessel, Tammy Griffin is an individual health care provider with primary practice located at 1471 Jag Branch Blvd Unit 101 , Kernersville NC 27284-6963. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shimfessel, Tammy Griffin can be contacted via phone (336) 515-7420.Contact Information
Primary practice address
1471 Jag Branch Blvd Unit 101
Kernersville NC 27284-6963
Phone: (336) 515-7420
Fax: (336) 515-7430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0003-00103 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 300103 | North Carolina |
Profile Details
| NPI number | 1679532212 |
|---|---|
| LBN Legal business name | Shimfessel, Tammy Griffin |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Feb 8th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679532212 | NPPES |
| North Carolina | MEDICAID | 7005674 |
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