Individual
TIFFANI B IVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-7070
Mailing address
50 WIND TREE CV, JACKSON, TN 38305-2974
(731) 217-8322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
155453
TN
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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