Provider Demographics
NPI:1346042611
Name:BROWNING, TENNILLE LYNN
Entity type:Individual
Prefix:
First Name:TENNILLE
Middle Name:LYNN
Last Name:BROWNING
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WINKLER ST
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62827-1109
Mailing Address - Country:US
Mailing Address - Phone:618-383-2129
Mailing Address - Fax:
Practice Address - Street 1:101 WINKLER ST
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62827-1109
Practice Address - Country:US
Practice Address - Phone:618-383-2129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider