Individual
TINSAE A TOLLESA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
378 BELL DR W, WINCHESTER, TN 37398-5404
(940) 882-0570
Mailing address
378 BELL DR W, WINCHESTER, TN 37398-5404
(940) 882-0570
(931) 815-3876
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
31881
TN
Other
Enumeration date
06/29/2022
Last updated
05/15/2025
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