Individual
MRS. JESSICA LEE TIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 823-1234
Mailing address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 823-1234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9232566
FL
Other
Enumeration date
05/07/2013
Last updated
10/24/2014
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