Individual
TEAGAN N TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2200 3RD AVE, ROCK ISLAND, IL 61201-8840
(309) 779-2094
Mailing address
2315 JEBENS AVE APT 8, DAVENPORT, IA 52804-2542
(563) 343-8917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041536797
IL
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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