Individual
TAMMY SUE DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1142
Mailing address
7513 DRY RUN RD, KINGSTON, OH 45644-9710
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
024591
OH
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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