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1194418939
TIFFANY T PENDERGRASS
LENOIR CITY, TN
NPI
1194418939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 32294)
Enumeration Date
2023-05-29
Last Update Date
2023-05-29
Business Address
TIFFANY T PENDERGRASS FNP
689 MEDICAL PARK DR STE 201
LENOIR CITY, TN 37772-5797
Phone number: 865-988-6575
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Mailing Address
TIFFANY T PENDERGRASS FNP
689 MEDICAL PARK DR STE 201
LENOIR CITY, TN 37772-5797
Phone number: 865-988-6575
Copy
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