Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APN 7745 | TN |
NPI | 1033158001 |
---|---|
Provider Name | Ms. Tammy L Shipley |
First Address | Murfreesboro, TN 37129-1237 |
Second Address | Murfreesboro, TN 37129-1237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 13/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3907002 | (05) | TN |
P65471 | (02) | TN |