Individual
JEANNA TABRIZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
Mailing address
905 E MORGAN ST, NEWTON, IL 62448-1470
(618) 562-5326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209021081
IL
363LF0000X
Family Nurse Practitioner
71009648A
IN
Other
Enumeration date
01/03/2020
Last updated
05/06/2020
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