Provider Demographics
NPI:1154282838
Name:WIGGINS-TALLMAN, ALANAH MERSADES
Entity type:Individual
Prefix:
First Name:ALANAH
Middle Name:MERSADES
Last Name:WIGGINS-TALLMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 KENSINGTON PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-8885
Mailing Address - Country:US
Mailing Address - Phone:931-652-0300
Mailing Address - Fax:
Practice Address - Street 1:1503 HATCHER LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4833
Practice Address - Country:US
Practice Address - Phone:931-236-3116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-21
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40357363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily