Provider Demographics
NPI:1477447712
Name:BOBB, TAMMIE LEE (REGESTERED NURSE)
Entity type:Individual
Prefix:
First Name:TAMMIE
Middle Name:LEE
Last Name:BOBB
Suffix:
Gender:F
Credentials:REGESTERED NURSE
Other - Prefix:
Other - First Name:TAMERA
Other - Middle Name:LEE
Other - Last Name:BOBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:37087 STATE ROUTE 93
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:OH
Mailing Address - Zip Code:45634-8894
Mailing Address - Country:US
Mailing Address - Phone:740-649-2598
Mailing Address - Fax:
Practice Address - Street 1:37087 STATE ROUTE 93
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:OH
Practice Address - Zip Code:45634-8894
Practice Address - Country:US
Practice Address - Phone:740-418-6644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-213979171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator