Provider Demographics
NPI:1811675283
Name:JAMISON, TAMEKA LATOYA (MPH)
Entity type:Individual
Prefix:MS
First Name:TAMEKA
Middle Name:LATOYA
Last Name:JAMISON
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:MS
Other - First Name:TAMEKA
Other - Middle Name:LATOYA
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 753827
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38175-3827
Mailing Address - Country:US
Mailing Address - Phone:901-801-3139
Mailing Address - Fax:
Practice Address - Street 1:1038 N EVERGREEN ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38107-3017
Practice Address - Country:US
Practice Address - Phone:901-801-3139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-06
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool