Provider Demographics
NPI:1982480901
Name:NOLAND, TAMEKA CHARDELL (FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:TAMEKA
Middle Name:CHARDELL
Last Name:NOLAND
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3414 35TH CT E
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-2607
Mailing Address - Country:US
Mailing Address - Phone:205-657-7577
Mailing Address - Fax:
Practice Address - Street 1:3414 35TH CT E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-2607
Practice Address - Country:US
Practice Address - Phone:205-657-7577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF07231013363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily