MEDICARE: TAMIKA WHITLEY

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
1	163W00000X	Registered Nurse	28291968	IN

General Provider Information

NPI Number	:	1912881293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMIKA WHITLEY

Provider Business Mailing Address
First Line	:	2335 LEMA CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-1846
Country	:	US
Telephone Number	:	317-529-1086
Fax Number	:

Provider Business Practice Location Address
First Line	:	2335 LEMA CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-1846
Country	:	US
Telephone Number	:	317-529-1086
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	08/01/2025

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Directions to “ TAMIKA WHITLEY ” Practice Location

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