Tammy Felicia Blackmon
Nurse Practitioner - Gerontology
270 17th St Nw Unit 2501
Atlanta
, Georgia 30363-1218
Tammy Felicia Blackmon
Nurse Practitioner - Gerontology
270 17th St Nw Unit 2501
Atlanta
, Georgia 30363-1218
(678) 697-0844
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Tammy Felicia Blackmon
- 270 17th Street Street Nw Unit. 2501
- Atlanta, GA
- Zip : 30363
- Phone : (678) 697-0844
Second Address
- Tammy Felicia Blackmon
- 270 17th St Nw Unit 2501
- Atlanta, GA
- Zip : 30363-1218
- Phone : (678) 697-0844
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RN196430 | GA |
National Provider Identifier
| NPI | 1063853133 |
|---|---|
| Provider Name | Tammy Felicia Blackmon |
| First Address | Atlanta, GA 30363 |
| Second Address | Atlanta, GA 30363-1218 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2013 |
| Last Update Date | 17/07/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.