Provider Demographics
NPI:1962807578
Name:GEARY, TAMMY MAYHUGH (APRN)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:MAYHUGH
Last Name:GEARY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 HARDIN HOLLY
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:KY
Mailing Address - Zip Code:40031-8986
Mailing Address - Country:US
Mailing Address - Phone:502-424-6095
Mailing Address - Fax:502-222-0185
Practice Address - Street 1:1000 HARDIN HOLLY
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-8986
Practice Address - Country:US
Practice Address - Phone:502-424-6095
Practice Address - Fax:502-222-0185
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009044363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health