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Individual
TALISHA ETTINA LEEANN TROUTT
Active
Individual
TALISHA ETTINA LEEANN TROUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23083
TN
363LP2300X
Primary Care Nurse Practitioner
23083
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q036951
—
TN
Enumeration date
08/29/2017
Last updated
07/29/2022
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