Individual
MARK ANDREW TIGNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 583-3687
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007487
KY
363LF0000X
Family Nurse Practitioner
28194658A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3007487
MEDICAL LICENSE
KY
Enumeration date
06/29/2012
Last updated
08/09/2024
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