Individual
TIFFANY M TIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W MAIN ST, WOODBURY, TN 37190-1143
(615) 922-6782
Mailing address
3643 HOLLIS CREEK RD, WOODBURY, TN 37190-5941
(615) 410-5762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
211685
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
33312
TN
Other
Enumeration date
01/06/2023
Last updated
02/07/2024
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