Individual
TIFFANY LINN MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 S LOOP 256, PALESTINE, TX 75801-6958
(903) 731-1000
Mailing address
6675 FM 2419, PALESTINE, TX 75801-5560
(903) 948-6405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP143317
TX
Other
Enumeration date
05/01/2019
Last updated
10/03/2019
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