Individual
TANYA M DINGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
205 PAGE AVE, JACKSON, MI 49201-2462
(517) 878-3577
(517) 787-4280
Mailing address
205 PAGE AVE, JACKSON, MI 49201-2462
(517) 878-3577
(517) 787-4280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704297068
MI
363LF0000X
Family Nurse Practitioner
4704297068
MI
Other
Enumeration date
09/01/2020
Last updated
03/22/2022
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