Individual
JESSICA ANNE TYSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 GREENBRIER RD, MADISON, AL 35756
(256) 893-9500
(702) 853-3854
Mailing address
9000 GREENBRIER PKWY NW UNIT 84, MADISON, AL 35756-4815
(256) 893-9500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-193147
AL
363LF0000X
Family Nurse Practitioner
821593
NV
Other
Enumeration date
06/21/2019
Last updated
10/06/2023
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