Individual
TYRA WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
7499 POPLAR PIKE, GERMANTOWN, TN 38138-5934
(662) 883-4198
Mailing address
1306 MONTVALE STATION RD, MARYVILLE, TN 37803-5814
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
39779
TN
Other
Enumeration date
10/14/2025
Last updated
03/24/2026
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