Provider Demographics
NPI:1821642976
Name:LOWE, TAMIKA SHANTELL (CNA)
Entity Type:Individual
Prefix:
First Name:TAMIKA
Middle Name:SHANTELL
Last Name:LOWE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:TAMIKA
Other - Middle Name:SHANTELL
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1544 LODGE ST
Mailing Address - Street 2:
Mailing Address - City:ALCOA
Mailing Address - State:TN
Mailing Address - Zip Code:37701-2022
Mailing Address - Country:US
Mailing Address - Phone:865-333-2183
Mailing Address - Fax:865-338-1978
Practice Address - Street 1:1544 LODGE ST
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-2022
Practice Address - Country:US
Practice Address - Phone:865-333-2183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-27
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide