Provider Demographics
NPI:1326202763
Name:AKENS, TAMBERLY JILL (CNIM)
Entity Type:Individual
Prefix:
First Name:TAMBERLY
Middle Name:JILL
Last Name:AKENS
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:TAMBERLY
Other - Middle Name:JILL
Other - Last Name:WILLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNIM
Mailing Address - Street 1:25 HIGHLAND PARK VLG STE 100-225
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-2789
Mailing Address - Country:US
Mailing Address - Phone:214-460-2946
Mailing Address - Fax:214-975-1312
Practice Address - Street 1:25 HIGHLAND PARK VLG STE 100-225
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-2789
Practice Address - Country:US
Practice Address - Phone:214-460-2946
Practice Address - Fax:214-975-1312
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic