Individual
LISA S TWYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
708 W FOREST AVE, JACKSON, TN 38301-3901
(731) 935-8386
Mailing address
54 DAVENPORT RD, HUMBOLDT, TN 38343-6653
(731) 787-7048
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN0000070256
TN
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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