Doctor Name: | TIFFANY PRICE |
NPI Number: | 1477957918 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R870157 |
Business Practice Address: | 210 Hospital Cir Choctaw, MS - 393506781 |
Business Phone Number: | 6016562211 |
Business Fax Number: | 6016637721 |
Mailing Address: | 210 Hospital Cir, CHOCTAW |
State: | MS |
Postal Code: | 393506781 |
Phone Number: | 6016562211 |
Fax Number: | 6016637721 |
NPI Enumeration Date: | 10/13/2014 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R870157 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |