Individual
TIFFANI BRIANA ROUNDTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 PUBLIC SQUARE, SUITE E, 104, LEBANON, TN 37087
(931) 265-2649
Mailing address
4180 COLES FERRY PIKE, LEBANON, TN 37087-9603
(931) 265-2649
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30575
TN
Other
Enumeration date
09/18/2023
Last updated
02/15/2024
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