Provider Demographics
NPI:1164217386
Name:RUFF, TAMEKIA (PMHNP)
Entity type:Individual
Prefix:
First Name:TAMEKIA
Middle Name:
Last Name:RUFF
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 TAMARIND LN
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-6323
Mailing Address - Country:US
Mailing Address - Phone:864-766-9061
Mailing Address - Fax:
Practice Address - Street 1:1375 TAMARIND LN
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-6323
Practice Address - Country:US
Practice Address - Phone:864-766-9061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30009363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health