Provider Demographics
NPI:1225466006
Name:FIELD, TAMMY JEAN (NP-C)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:JEAN
Last Name:FIELD
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 W HILLSBORO BLVD
Mailing Address - Street 2:#205
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1484
Mailing Address - Country:US
Mailing Address - Phone:954-426-1080
Mailing Address - Fax:
Practice Address - Street 1:1800 W HILLSBORO BLVD
Practice Address - Street 2:#205
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1484
Practice Address - Country:US
Practice Address - Phone:954-426-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-14
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9234000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily