TAMMY M JIVIDEN

WINSTON SALEM, NC
NPI1922251628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  1232)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024168039)
Enumeration Date2008-10-28
Last Update Date2022-10-27
Business Address
TAMMY M JIVIDEN CRNA
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-5201
Phone number: 336-716-2255
Mailing Address
TAMMY M JIVIDEN CRNA
117 E KINGS HIGHWAY
EDEN, NC 27288-5201
Phone number: 336-623-9711
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