Individual ProviderTarryn OliverLicensed Vocational NurseNursing Service ProvidersPractice Address755 S Beckham Ave, Tyler, TX 75701-1903(903) 534-4684PECOS EnrollmentBased on the most recent information from CMS, provider Tarryn Oliver does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1295326270Provider TypeIndividualFull NameOliver, TarrynGenderFemaleSole ProprietorYesEnumeration Date2/1/2021Last Updated2/1/2021Contact InformationPractice LocationPractice Address755 S Beckham Ave, Tyler, TX 75701-1903Phone(903) 534-4684FaxUnlisted FaxMailing LocationMailing Address755 S Beckham Ave, Tyler, TX 75701-1903Phone(903) 534-4684FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164X00000XPrimaryDescriptionLicensed Vocational NurseNursing Service ProvidersLicense1021994Texas