Provider Demographics
NPI:1093039000
Name:MILHOLEN, TAMMY COLWICK (NP-C)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:COLWICK
Last Name:MILHOLEN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 W CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-2077
Mailing Address - Country:US
Mailing Address - Phone:731-968-2006
Mailing Address - Fax:731-968-3751
Practice Address - Street 1:270 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-2077
Practice Address - Country:US
Practice Address - Phone:731-968-2006
Practice Address - Fax:731-968-3751
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14747208600000X, 363LF0000X, 207Q00000X, 207R00000X, 208000000X, 207P00000X, 208100000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1518633Medicaid
TNF0310057OtherAANP
TN4260727OtherBCBS
TN4260727OtherBCBS