Individual provider · Type 1 NPI

Tia Roche Ivory, FNP-C

Family Nurse Practitioner · Kilgore, TX

NPI number 1689176885 Active

Practice location

2019A S Henderson Blvd Ste 2
Kilgore, TX 75662-3567

Call (903) 483-7707 Map

Fax (903) 483-7708

Mailing address

2019A South Henderson Blvd, Suite 2
Kilgore, TX 75662-3915

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP136828 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1689176885

Tia Roche Ivory, FNP-C's National Provider Identifier is 1689176885, issued on Mar 3, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kilgore, TX. The record was last updated on May 8, 2023.