| Doctor Name: | TAMMY JAVELLANA |
| NPI Number: | 1013112077 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P |
| License Number: | APN10445 |
| Business Practice Address: | 2017 Saint John Ave Suite B Dyersburg, TN - 380242209 |
| Business Phone Number: | 7312856110 |
| Business Fax Number: | 7312856964 |
| Mailing Address: | 2017 Saint John Ave, Suite B DYERSBURG |
| State: | TN |
| Postal Code: | 380242209 |
| Phone Number: | 7312856110 |
| Fax Number: | 7312856964 |
| NPI Enumeration Date: | 06/19/2007 |
| NPI Last Update Date: | 03/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN10445 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |