Individual
TATYANA MARY JACQUI JOAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1060 PEERLESS XING NW STE 101, CLEVELAND, TN 37312-3785
(423) 339-3340
(423) 339-9927
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 714-7171
(815) 435-5080
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
64989
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2017
Last updated
02/25/2026
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