Rickey, Tami Lynn

Rickey, Tami Lynn is an individual health care provider with primary practice located at 4700 Puddledock Road Suite 300, Prince George VA 23875-1268. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rickey, Tami Lynn can be contacted via phone (804) 526-1111.

Contact Information

Primary practice address
4700 Puddledock Road Suite 300 Prince George VA 23875-1268
Phone: (804) 526-1111
Fax: (804) 526-8363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 0024165943 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024165943 Virginia

Profile Details

NPI number 1760403141
LBN Legal business name Rickey, Tami Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 27th, 2015 - about 11 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 1760403141 NPPES
Virginia MEDICAID 005641276

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