Davis, Tammy Lynn

Davis, Tammy Lynn is an individual health care provider with primary practice located at 324 W Superior St Ste 620 , Duluth MN 55802-1723. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davis, Tammy Lynn can be contacted via phone (218) 606-1797.

Contact Information

Primary practice address
324 W Superior St Ste 620 Duluth MN 55802-1723
Phone: (218) 606-1797
Fax: (651) 952-0039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3238 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R147980-5 Minnesota

Profile Details

NPI number 1528134129
LBN Legal business name Davis, Tammy Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated May 10th, 2021 - about 5 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 1528134129 NPPES
Minnesota MEDICAID 591804900

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