Provider Demographics
NPI:1801379078
Name:SOLOMON, TAMMY MELISSA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:TAMMY MELISSA
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 N CUTLER ST
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-3846
Mailing Address - Country:US
Mailing Address - Phone:423-798-2053
Mailing Address - Fax:423-798-2053
Practice Address - Street 1:204 N CUTLER ST
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-3846
Practice Address - Country:US
Practice Address - Phone:423-798-2053
Practice Address - Fax:423-798-2054
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000024625363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily