Most Relevant Information
Provider Data
| NPI Number: | 1003262031 |
| Provider Name: | TAMMY TODD LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | L050703 |
Most Important Dates
| Enumeration Date: | 05/09/2016 |
| Last Updated: | 02/11/2019 |
Provider Practice Location
602 DAVID ST
CORNING
AR
724227268
Practice Location Phone/Fax
| Phone: | 8708573655 |
| Fax: | 8708573667 |
Provider Mailing Location
2707 BROWNS LN
JONESBORO
AR
724017213
Provider Mailing Phone/Fax
| Phone: | 8709724939 |
| Fax: | 8709724911 |