Doctor Name: | TIFFANY SYLVESTER |
NPI Number: | 1033459672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 2223 |
Business Practice Address: | 491 Sage Rd N Suite 200 White House, TN - 371889360 |
Business Phone Number: | 6156727122 |
Business Fax Number: | |
Mailing Address: | Po Box 1669, WHITE HOUSE |
State: | TN |
Postal Code: | 371881669 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/19/2013 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 2223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |