Individual
JANA MARIE TOLLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S BROWN ST, SPRINGFIELD, TN 37172-2920
(615) 384-4504
Mailing address
800 S BROWN ST, SPRINGFIELD, TN 37172-2920
(615) 384-4504
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
38467
TN
163W00000X
Registered Nurse
Primary
176612
TN
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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