Provider Demographics
NPI:1427754670
Name:ROHANE-HENDERSON, TAMMY
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:ROHANE-HENDERSON
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 1:714 W MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3500
Mailing Address - Country:US
Mailing Address - Phone:615-653-0066
Mailing Address - Fax:615-624-6964
Practice Address - Street 1:714 W MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3500
Practice Address - Country:US
Practice Address - Phone:615-653-0066
Practice Address - Fax:615-624-6964
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty