Provider Demographics
NPI:1164606075
Name:BLANCHARD, TAMMY A (ARNP)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:A
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:861 CORPORATE DR
Mailing Address - Street 2:SIUTE 103
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-5432
Mailing Address - Country:US
Mailing Address - Phone:859-224-2022
Mailing Address - Fax:859-224-2024
Practice Address - Street 1:861 CORPORATE DR
Practice Address - Street 2:SIUTE 103
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-5432
Practice Address - Country:US
Practice Address - Phone:859-224-2022
Practice Address - Fax:859-224-2024
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY5410P363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health