Provider Demographics
NPI:1235870064
Name:SLEDGE, TAMEKA (FNP-C)
Entity Type:Individual
Prefix:
First Name:TAMEKA
Middle Name:
Last Name:SLEDGE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 HIGHWAY 64
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:TN
Mailing Address - Zip Code:38060-3463
Mailing Address - Country:US
Mailing Address - Phone:901-424-0346
Mailing Address - Fax:901-424-0347
Practice Address - Street 1:7400 HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:TN
Practice Address - Zip Code:38060-3463
Practice Address - Country:US
Practice Address - Phone:901-424-0346
Practice Address - Fax:901-424-0347
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29833363LF0000X, 364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health