Individual
MRS. TISHA MARLENE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
3600 FREDERICA ST, SUITE B, OWENSBORO, KY 42301
(270) 684-0023
(270) 684-0065
Mailing address
3600 FREDERICA ST., OWENSBORO, KY 42301
(270) 684-0023
(270) 684-0065
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006838
KY
Other
Enumeration date
02/11/2011
Last updated
05/14/2018
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