Doctor Name: | TAMMY BAIRD |
NPI Number: | 1063431781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP |
License Number: | RN94099 |
Business Practice Address: | 405 Scenic Dr Rogersville, TN - 378572441 |
Business Phone Number: | 4232722111 |
Business Fax Number: | 4232243233 |
Mailing Address: | 999 Executive Park Blvd, Suite 201 KINGSPORT |
State: | TN |
Postal Code: | 376604632 |
Phone Number: | 4232243258 |
Fax Number: | 4232243258 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 08/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RN94099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |