Provider Demographics
NPI:1295277341
Name:TIGNER, TASHA
Entity type:Individual
Prefix:
First Name:TASHA
Middle Name:
Last Name:TIGNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CHEROKEE BLVD
Mailing Address - Street 2:SUITE 2010
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-3878
Mailing Address - Country:US
Mailing Address - Phone:423-438-1898
Mailing Address - Fax:
Practice Address - Street 1:100 CHEROKEE BLVD
Practice Address - Street 2:SUITE 2010
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-3878
Practice Address - Country:US
Practice Address - Phone:423-438-1898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000019055253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care