Individual
TIFFANY ANNE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
810 W CHURCH ST, GREENEVILLE, TN 37745-3285
(423) 798-1749
(423) 798-1755
Mailing address
185 TREASURE LN, JOHNSON CITY, TN 37604-7816
(423) 979-3200
(423) 979-3267
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
160278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4447921
—
TN
Enumeration date
01/30/2019
Last updated
01/30/2019
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