Provider Demographics
NPI:1336386986
Name:MOLET-CALDWELL, TAMIKO (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:TAMIKO
Middle Name:
Last Name:MOLET-CALDWELL
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:DR
Other - First Name:TAMIKO
Other - Middle Name:
Other - Last Name:MOLET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:4693 LOG CABIN DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-6317
Mailing Address - Country:US
Mailing Address - Phone:478-444-3737
Mailing Address - Fax:
Practice Address - Street 1:4693 LOG CABIN DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-6317
Practice Address - Country:US
Practice Address - Phone:478-227-4113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-18
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN200088NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily