Pendergrass, Tiffany T

Pendergrass, Tiffany T is an individual health care provider with primary practice located at 689 Medical Park Dr Ste 201 , Lenoir City TN 37772-5797. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pendergrass, Tiffany T can be contacted via phone (865) 988-6575.

Contact Information

Primary practice address
689 Medical Park Dr Ste 201 Lenoir City TN 37772-5797
Phone: (865) 988-6575
Fax: (865) 988-6066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 32294 Tennessee

Profile Details

NPI number 1194418939
LBN Legal business name Pendergrass, Tiffany T
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2023
Last updated May 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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