Tignor, Mark Andrew

Tignor, Mark Andrew is an individual health care provider with primary practice located at 906 Woodland Dr Suite 102, Elizabethtown KY 42701-2752. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Tignor, Mark Andrew can be contacted via phone (270) 765-5127.

Contact Information

Primary practice address
906 Woodland Dr Suite 102 Elizabethtown KY 42701-2752
Phone: (270) 765-5127
Fax: (270) 765-2653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28194658A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3007487 Kentucky

Profile Details

NPI number 1255695664
LBN Legal business name Tignor, Mark Andrew
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Mar 12th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255695664 NPPES
Kentucky Other 3007487 MEDICAL LICENSE

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