Provider Demographics
NPI:1598589509
Name:GALMORE, TOMIKA (BSN, RN)
Entity type:Individual
Prefix:
First Name:TOMIKA
Middle Name:
Last Name:GALMORE
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8624 SECRET FOREST DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75249-4022
Mailing Address - Country:US
Mailing Address - Phone:337-532-2163
Mailing Address - Fax:
Practice Address - Street 1:3714 YALE ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-3050
Practice Address - Country:US
Practice Address - Phone:337-532-2163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LARN151549163WC1600X, 174H00000X, 163W00000X, 174H00000X, 364SG0600X, 364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No174H00000XOther Service ProvidersHealth Educator
Yes163W00000XNursing Service ProvidersRegistered Nurse
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology