Individual
TIFFANY JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5880 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2236
(931) 823-6260
Mailing address
129 MAYNORD LN, MONROE, TN 38573-5626
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
82891
TN
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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