MS. Tia Roche Ivory, FNP-C

NPI #1689176885 in Kilgore, Texas

Provider Information

NPI Number
1689176885
Entity Type
Individual
Name
MS. Tia Roche Ivory, FNP-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-C
Enumeration Date
Mar 3, 2018
Last Updated
May 8, 2023

Practice Location

Address
2019A S HENDERSON BLVD STE 2
State
Texas
ZIP Code
75662-3567
Phone
(903) 483-7707

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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