Provider Demographics
NPI:1407447519
Name:SIMPSON, TAMIKA LACHELLE (CERTIFIED HAIR LOSS)
Entity Type:Individual
Prefix:
First Name:TAMIKA
Middle Name:LACHELLE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:CERTIFIED HAIR LOSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2409
Mailing Address - Country:US
Mailing Address - Phone:951-213-9859
Mailing Address - Fax:
Practice Address - Street 1:1812 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-2906
Practice Address - Country:US
Practice Address - Phone:951-213-9859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment