Individual
TIFFANY MARIE PENDARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6000 RAMSEY WAY, DICKSON, TN 37055-2198
(615) 446-3937
Mailing address
1091 RANEY HILL RD, DICKSON, TN 37055-5259
(615) 202-9485
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000074742
TN
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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