Provider Demographics
NPI:1942467733
Name:JONES, TAMMIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:TAMMIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1532 LONE OAK RD
Mailing Address - Street 2:STE 230 KENTUCKY SPINE AND BRAIN
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003
Mailing Address - Country:US
Mailing Address - Phone:270-538-5800
Mailing Address - Fax:270-538-5801
Practice Address - Street 1:1532 LONE OAK RD
Practice Address - Street 2:STE 230 KENTUCKY SPINE AND BRAIN
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003
Practice Address - Country:US
Practice Address - Phone:270-538-5800
Practice Address - Fax:270-538-5801
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY1096613163W00000X, 246ZS0410X, 163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No163W00000XNursing Service ProvidersRegistered Nurse
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist