person
Mrs. Tammy Jibben Wingo, FNP
Family Nurse Practitioner in Farmville, Virginia
NPI 1639172182

Tammy Jibben Wingo is a Family Nurse Practitioner based in Farmville, VA and is specialized in Family. Tammy Jibben Wingo practices in Farmville, VA and has the professional credentials of FNP. The NPI Number for Tammy Jibben Wingo is 1639172182 and holds a License No. 0024129303 (Virginia).

The current practice location address for Tammy Jibben Wingo is 1100 W 3Rd St, Farmville, VA and can be reached out via phone at 434-394-2422 and via fax at 434-394-2435.

Location: 1100 W 3Rd St, Farmville, VA, 23901-0585
person
Provider Profile Details
NPI Number
1639172182
Provider Name
Tammy Jibben Wingo
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1100 W 3Rd St, Farmville, VA, 23901-0585
Phone Number
434-394-2422
Fax Number
434-394-2435
Provider Enumeration Date
05/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024129303 01 VA LICENSE
010262020 05 VA
C09816 01 VA MEDICARE GROUP NO
institution
Provider Business Practice Location Address Details
Address
1100 W 3Rd St
City
State
Zip
23901-2628
Phone Number
434-394-2422
Fax Number
434-394-2435
person
Provider Business Mailing Address Details
Address
1100 W 3Rd St
City
State
Zip
23901-2628
Phone Number
434-394-2422
Fax Number
434-394-2435
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024129303 (Virginia)
Definition
Definition to come...
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