Individual
JIMMIE J TOLVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2480 LLEWELLYN AVE, FORT MEADE, MD 20755-7081
(804) 943-7917
Mailing address
208 CLAS DR, SYKESVILLE, MD 21784-8587
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
156157
NC
Other
Enumeration date
02/18/2010
Last updated
04/11/2025
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