Provider Demographics
NPI:1144894437
Name:SALES, TIJUANA (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:TIJUANA
Middle Name:
Last Name:SALES
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 S CENTER ST PO BOX 285
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-5008
Mailing Address - Country:US
Mailing Address - Phone:901-878-5895
Mailing Address - Fax:346-205-0454
Practice Address - Street 1:5430 WINCHESTER RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-4568
Practice Address - Country:US
Practice Address - Phone:901-878-5895
Practice Address - Fax:346-205-0454
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN29576363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily