Provider Demographics
NPI:1639059884
Name:HARPER, TAMMY LYNN
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNN
Last Name:HARPER
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 1:2757 EMMA RD
Mailing Address - Street 2:
Mailing Address - City:GIVEN
Mailing Address - State:WV
Mailing Address - Zip Code:25245-8135
Mailing Address - Country:US
Mailing Address - Phone:304-373-8944
Mailing Address - Fax:
Practice Address - Street 1:2757 EMMA RD
Practice Address - Street 2:
Practice Address - City:GIVEN
Practice Address - State:WV
Practice Address - Zip Code:25245-8135
Practice Address - Country:US
Practice Address - Phone:304-373-8944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant