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Individual

MRS. ALLISON TICHENOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3413 WOODS EDGE, OKEMOS, MI 48864-5901
(517) 349-3303
(517) 349-4374
Mailing address
2715 EAST GRAND RIVER AVENUE, LANSING, MI 48912
(484) 515-0495

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704328748
MI
363LF0000X
Family Nurse Practitioner
SP015370
PA

Other

Enumeration date
10/07/2015
Last updated
08/14/2017
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