Provider Demographics
NPI:1932082443
Name:HAMPTON, TENNILE T
Entity type:Individual
Prefix:
First Name:TENNILE
Middle Name:T
Last Name:HAMPTON
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:DELESSA
Other - Middle Name:TENNILE
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1118
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-0013
Mailing Address - Country:US
Mailing Address - Phone:313-808-5068
Mailing Address - Fax:
Practice Address - Street 1:7800 W OUTER DR STE LL02
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3461
Practice Address - Country:US
Practice Address - Phone:313-259-1574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator