Provider Demographics
NPI:1952161432
Name:MCFERRIN, TAMMY LENELL
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:LENELL
Last Name:MCFERRIN
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 1:500 ANONA DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-2918
Mailing Address - Country:US
Mailing Address - Phone:910-824-4955
Mailing Address - Fax:
Practice Address - Street 1:500 ANONA DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-2918
Practice Address - Country:US
Practice Address - Phone:910-824-4955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care