Clay, Tammy Denise
Clay, Tammy Denise is an sole proprietor health care provider with primary practice located at 133 E Sykes Rd , Jackson MS 39212-4988. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Clay, Tammy Denise can be contacted via phone (601) 937-2999.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | Mississippi |
Profile Details
| NPI number | 1164153219 |
|---|---|
| LBN Legal business name | Clay, Tammy Denise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2022 |
| Last updated | Jun 20th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164153219 | NPPES |
| Mississippi | MEDICAID | 882883566 |
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