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NPI Code Detail

MEDICARE: TAMESHIA WIGGINS PMHNP-BC,AGNP-C

MEDICARE:   TAMESHIA  WIGGINS  PMHNP-BC,AGNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024190119VA
2363LA2200XAdult Health Nurse Practitioner847075NV
3363LA2200XAdult Health Nurse PractitionerAPRN.CNP.023855OH
4363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.023855OH
5363LG0600XGerontology Nurse PractitionerAPRN.CNP.023855OH
6363LP0808XPsychiatric/Mental Health Nurse Practitioner4704356033MI
7363LP0808XPsychiatric/Mental Health Nurse Practitioner5017112NC
8363LA2200XAdult Health Nurse Practitioner5017112NC
9363LG0600XGerontology Nurse Practitioner847075NV

General Provider Information

NPI Number : 1891263463
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMESHIA WIGGINS PMHNP-BC,AGNP-C
Provider Business Mailing Address
First Line : 5330 HEATHERDOWNS BLVD STE 207
Second Line :
City : TOLEDO
State : OH
Zip : 43614-4644
Country : US
Telephone Number : 419-314-9535
Fax Number : 419-469-5495
Provider Business Practice Location Address
First Line : 5330 HEATHERDOWNS BLVD STE 207
Second Line :
City : TOLEDO
State : OH
Zip : 43614-4644
Country : US
Telephone Number : 419-314-9535
Fax Number : 419-469-5495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2018
Last Update Date : 12/09/2025

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Directions to “ TAMESHIA WIGGINS PMHNP-BC,AGNP-C” Practice Location

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