Provider Demographics
NPI:1912226143
Name:ENGLAND, TAMMY L (ARNP)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:L
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:255 CHURCH ST
Mailing Address - Street 2:SUITE103
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-3476
Mailing Address - Country:US
Mailing Address - Phone:606-218-6011
Mailing Address - Fax:606-218-6082
Practice Address - Street 1:255 CHURCH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-3476
Practice Address - Country:US
Practice Address - Phone:606-218-6011
Practice Address - Fax:606-218-6082
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY6449P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100136790Medicaid
KY7100146710OtherMEDICAID PRIMARY CARE GROUP NUMBER EKAHC
KY000000691065OtherBCBS
KY1629114707OtherEKAHC GROUP NPI NUMBER
KYP400023074Medicare PIN