Most Relevant Information
Provider Data
| NPI Number: | 1003285388 |
| Provider Name: | JANA MARIE TOLLESON |
| Entity Type: | Individual |
| Taxonomy Code: | 146M00000X |
| Specialty: | Emergency Medical Technician, Intermediate |
| License Number: | 38467 |
Most Important Dates
| Enumeration Date: | 09/17/2015 |
| Last Updated: | 09/17/2015 |
Provider Practice Location
800 S BROWN ST
SPRINGFIELD
TN
371722920
Practice Location Phone/Fax
| Phone: | 6153844504 |
| Fax: |
Provider Mailing Location
800 S BROWN ST
SPRINGFIELD
TN
371722920
Provider Mailing Phone/Fax
| Phone: | 6153844504 |
| Fax: |