Individual
TIFFANY TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 DEER RIDGE RUN, JASPER, AL 35503-5573
(606) 302-1233
Mailing address
508 DEER RIDGE RUN, JASPER, AL 35503-5573
(606) 302-1233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1157411
AL
Other
Enumeration date
05/28/2019
Last updated
05/19/2022
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