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Individual
MARK ANDREW TIGNOR
Active
Individual
MARK ANDREW TIGNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007487
KY
363LF0000X
Family Nurse Practitioner
28194658A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3007487
MEDICAL LICENSE
KY
Enumeration date
06/29/2012
Last updated
08/09/2024
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