Provider Demographics
NPI:1568984706
Name:GAMBREL, TAMMY SUE (FNP)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:SUE
Last Name:GAMBREL
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:215 TREUHAFT BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906-7361
Mailing Address - Country:US
Mailing Address - Phone:606-277-0173
Mailing Address - Fax:606-277-0045
Practice Address - Street 1:215 TREUHAFT BLVD STE 8
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-7361
Practice Address - Country:US
Practice Address - Phone:423-494-9484
Practice Address - Fax:606-277-0045
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011316363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily