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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAMICKA NELSON- BOBO

Active Sole Proprietor

TAMICKA NELSON- BOBO is a Home Health healthcare provider located in BLACK JACK, Missouri. NPI 1316558281 is currently active in the NPPES registry. Verify at CMS.

Home Health · BLACK JACK, MO

Registration Details

NPI Number
1316558281
Provider Type
Individual
Gender
Female
NPI Issued
Aug 13, 2020 (6.008016820016 yrs)
Last Updated
Aug 13, 2020
Sole Proprietor
Yes

Practice Information

Address
12215 WINTERSET DR
BLACK JACK, MO, 630337333
Browse MO providers · Browse ZIP 63033
Phone
3146297281
Primary Specialty
Home Health
251E00000X
Additional Specialty
Assistant Behavior Analyst
Additional Specialty
Behavior Technician
Additional Specialty
Paramedic
Additional Specialty
Case Manager

Other Home Health Providers in BLACK JACK, MO

Name Credential NPI
BETTY MCCULLEY 1508462391
LAQUITA LARAI HARRIS 1881373728
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.