Healthcare Provider Details

I. General information

NPI: 1811675283
Provider Name (Legal Business Name): TAMEKA LATOYA JAMISON MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. TAMEKA LATOYA WILLIAMS

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 N EVERGREEN ST
MEMPHIS TN
38107-3017
US

IV. Provider business mailing address

PO BOX 753827
MEMPHIS TN
38175-3827
US

V. Phone/Fax

Practice location:
  • Phone: 901-801-3139
  • Fax:
Mailing address:
  • Phone: 901-801-3139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: