Provider Demographics
NPI:1427023837
Name:LAMB, ROCHELLE M (APN)
Entity Type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:M
Last Name:LAMB
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MISS
Other - First Name:ROCHELLE
Other - Middle Name:L
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:PO BOX 834
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38503-0834
Mailing Address - Country:US
Mailing Address - Phone:931-528-0002
Mailing Address - Fax:931-528-1515
Practice Address - Street 1:315 N WASHINGTON AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2603
Practice Address - Country:US
Practice Address - Phone:931-528-0001
Practice Address - Fax:931-528-1515
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11031490363LW0102X
TNAPN7126363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3728688Medicaid
TN3648571Medicare ID - Type UnspecifiedPERSONAL MEDICARE ID NUMB
TNQ37576Medicare UPIN
TN3728688Medicaid