| Doctor Name: | MRS. TIFFANY SHEA DECKER |
| NPI Number: | 1003245218 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, NNP-BC |
| License Number: | 720968 |
| Business Practice Address: | 602 Indiana Ave Lubbock, TX - 794153364 |
| Business Phone Number: | 8067758808 |
| Business Fax Number: | |
| Mailing Address: | 602 Indiana Ave, LUBBOCK |
| State: | TX |
| Postal Code: | 794153364 |
| Phone Number: | 8067758808 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2013 |
| NPI Last Update Date: | 01/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WN0002X |
| License Number: | 720968 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Neonatal Intensive Care |
| Taxonomy Definition: | |