Individual provider · Type 1 NPI

Tiesha Gresham, REGISTERED NURSE

Administrator Registered Nurse · Birmingham, AL

NPI number 1295498970 Active

Practice location

500 Gene Reed Rd Ste 103
Birmingham, AL 35215-8260

Fax (205) 407-5802

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000X1-109186 (AL)

Administrator Registered Nurse: Definition to come...

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About NPI 1295498970

Tiesha Gresham, REGISTERED NURSE's National Provider Identifier is 1295498970, issued on Oct 19, 2021. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Birmingham, AL. The record was last updated on Oct 19, 2021.