Wingo, Tammy Jibben

Wingo, Tammy Jibben is an individual health care provider with primary practice located at 1100 W 3Rd St , Farmville VA 23901-2628. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wingo, Tammy Jibben can be contacted via phone (434) 394-2422.

Contact Information

Primary practice address
1100 W 3Rd St Farmville VA 23901-2628
Phone: (434) 394-2422
Fax: (434) 394-2435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024129303 Virginia

Profile Details

NPI number 1639172182
LBN Legal business name Wingo, Tammy Jibben
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2005
Last updated Mar 7th, 2023 - about 3 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 1639172182 NPPES
Virginia Other 0024129303 LICENSE
Virginia MEDICAID 010262020 LICENSE
Virginia Other C09816 LICENSE

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