Provider Demographics
NPI:1154993285
Name:TARPLEY, JESSICA MERCEDES (COTA/L)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:MERCEDES
Last Name:TARPLEY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 MILL RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37090-7188
Mailing Address - Country:US
Mailing Address - Phone:615-364-8162
Mailing Address - Fax:
Practice Address - Street 1:214 MILL RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37090-7188
Practice Address - Country:US
Practice Address - Phone:615-364-8162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0273224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant