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Individual

MRS. JENNIFER TISCHLER NADDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CPNP-PC

Contact information

Practice address
140 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 232-1300
Mailing address
140 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 232-1300

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2092016
GA
363LP0200X
Pediatric Nurse Practitioner
3291872
FL

Other

Enumeration date
03/27/2014
Last updated
03/27/2014
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