| Doctor Name: | MRS. TAMI LYNN RICKEY |
| NPI Number: | 1760403141 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 0024165943 |
| Business Practice Address: | 4700 Puddledock Road Suite 300 Prince George, VA - 238751268 |
| Business Phone Number: | 8045261111 |
| Business Fax Number: | 8045268363 |
| Mailing Address: | 4700 Puddledock Road, Suite 300 PRINCE GEORGE |
| State: | VA |
| Postal Code: | 238751268 |
| Phone Number: | 8045261111 |
| Fax Number: | 8045268363 |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 07/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 0024165943 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |