=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457089914
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TESSA LYNN MCGUFFEY WHNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/11/2022
-----------------------------------------------------
Last Update Date | 10/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 SYCAMORE ST
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45202-1340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-946-6508
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2090 COLUMBIANA RD STE 4000
-----------------------------------------------------
City | VESTAVIA HILLS
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35216-2158
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Nurse Practitioner
-----------------------------------------------------
License Number | 104420655
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------