Provider Demographics
NPI:1639856669
Name:TUFF, TAMIKA ALFINA (CNA)
Entity Type:Individual
Prefix:
First Name:TAMIKA
Middle Name:ALFINA
Last Name:TUFF
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 CARRINGTON RDG APT 319
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7657
Mailing Address - Country:US
Mailing Address - Phone:470-930-6143
Mailing Address - Fax:
Practice Address - Street 1:319 CARRINGTON RDG APT 319
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7657
Practice Address - Country:US
Practice Address - Phone:470-930-6143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0030032913251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care