TLC MEDICAL CLINIC INC - NPI 1083916563 - Nurse Practitioner in Tullahoma, TN

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Tlc Medical Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TLC MEDICAL CLINIC INC (NPI 1083916563) is a healthcare organization registered as a family in Tullahoma, Tennessee and active in the NPI registry since December 2010. The organization lists Ladonna Marie Ledford, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1083916563

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameTLC MEDICAL CLINIC INC

Location Address215 S ANDERSON STTullahoma, TN 37388-3735

Mailing AddressPo Box 1865Tullahoma, TN 37388-1865 · (931) 563-7464 · Fax (931) 563-7401

Phone(931) 563-7464

Fax(931) 563-7401

Organization SubpartNo

Authorized OfficialLadonna Marie LedfordNurse Practitioner · (931) 563-7464

Enumeration DateDecember 3, 2010

Last NPPES UpdateAugust 1, 2013

✔ NPI 1083916563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 8441

215 S ANDERSON ST, Tullahoma, TN 37388

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LADONNA MARIE LEDFORD NP

Nurse Practitioner (Family)