Individual
TIFFANY JARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
417 NORTHCREST DR, SPRINGFIELD, TN 37172-3973
(615) 384-8211
Mailing address
417 NORTHCREST DR, SPRINGFIELD, TN 37172-3973
(615) 384-8211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2562
TN
363AS0400X
Surgical Physician Assistant
Primary
2562
TN
Other
Enumeration date
08/01/2014
Last updated
11/20/2023
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