Provider Demographics
NPI:1851060933
Name:DODD, TAMMY GETTYS (LPN)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:GETTYS
Last Name:DODD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35194 OLD LA HIGHWAY 16
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-0555
Mailing Address - Country:US
Mailing Address - Phone:225-665-6702
Mailing Address - Fax:225-664-7910
Practice Address - Street 1:35194 OLD LA HIGHWAY 16
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70706-0555
Practice Address - Country:US
Practice Address - Phone:225-665-6702
Practice Address - Fax:225-664-7910
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA271178364SS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SS0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistSchool