Individual
MRS. JENNIFER TIBBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
PO BOX 22392, KNOXVILLE, TN 37933-0392
(520) 820-7918
Mailing address
PO BOX 22392, KNOXVILLE, TN 37933-0392
(520) 820-7918
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
37499
TN
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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