TAMARA JEAN PFAFFE
NPI 1013879469
Licensed Practical Nurse in Quincy, IL
- Individual
- Female
- Licensed Practical Nurse
About TAMARA PFAFFE
This page provides the complete NPI Profile along with additional information for Tamara Pfaffe, a provider established in Quincy, Illinois with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1013879469 assigned on November 2025. The practitioner's primary taxonomy code is 164W00000X with license number 043057279 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1013879469 Verify this NPI
- Provider Name
- TAMARA JEAN PFAFFE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6020 BROADWAY ST QUINCY, IL 62305
- Location Phone
- (217) 224-3366
- Location Fax
- (217) 221-6191
- Mailing Address
- 6020 BROADWAY ST QUINCY, IL 62305
- Mailing Phone
- (217) 224-3366
- Mailing Fax
- (217) 221-6191
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-24-2025
- Last Update Date
- 11-24-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 043057279
- License State
- IL
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
QUINCY, IL 62305
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013879469, enumerated as an "individual" on November 24, 2025.
The provider is located at 6020 BROADWAY ST QUINCY, IL 62305 and the phone number is (217) 224-3366.
Licensed Practical Nurse with taxonomy code 164W00000X.