IndividualActive
Alicia Fanning, RN
NPI 1255852216 · Registered Nurse · Tullahoma, TN
Provider details
- NPI number
- 1255852216
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 179294 (TN)
Specialties & taxonomies
Nursing Service Providers
Practice location
1905 N Jackson St
Tullahoma, TN 37388-2200
Phone: (931) 461-1300
Approximate (ZIP-level) locationGet directions
Mailing address
1905 N Jackson St
Tullahoma, TN 37388-2200
Additional practice locations (1)
- 1905 N Jackson StTullahoma, TN 37388-2200
Registry dates
- Enumerated
- 2017-06-29
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.