Individual
MRS. TIFFANY TOLLIVER-BATTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
420 GUNBY AVE, BASTROP, LA 71220-4406
(318) 283-3920
(318) 239-8920
Mailing address
PO BOX 293, BASTROP, LA 71221-0293
(318) 283-3970
(318) 239-8970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09664
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2466135
—
LA
Enumeration date
01/04/2018
Last updated
05/25/2023
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