Black, Tammi

Black, Tammi is an individual health care provider with primary practice located at 4040 Memorial Pkwy Sw , Huntsville AL 35802-4364. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Black, Tammi can be contacted via phone (256) 533-1970.

Contact Information

Primary practice address
4040 Memorial Pkwy Sw Huntsville AL 35802-4364
Phone: (256) 533-1970
Fax: (256) 705-6477
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2-055887 Alabama
Behavioral Health & Social Service Providers / Professional 101YP2500X 4002 Alabama

Profile Details

NPI number 1609244235
LBN Legal business name Black, Tammi
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2015
Last updated Mar 27th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609244235 NPPES
Alabama MEDICAID 330000014

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