Individual
MRS. DARNELL VICTORIA TOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
607 3RD AVE, JASPER, IN 47546-3636
(812) 482-2233
Mailing address
PO BOX 729, JASPER, IN 47547-0729
(812) 482-2233
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000939A
IN
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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