Individual
SUSAN M TOLLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 349-4000
Mailing address
1741 GEORGIAN DR, MEMPHIS, TN 38127-4314
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000011537
TN
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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