Doctor Name: | MRS. TIFFANY NICOLE GEORGE |
NPI Number: | 1619285400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-BC |
License Number: | 2010032711 |
Business Practice Address: | 1624 S National Ave Fort Scott, KS - 667012645 |
Business Phone Number: | 6202235000 |
Business Fax Number: | 6202235011 |
Mailing Address: | 1624 S National Ave, FORT SCOTT |
State: | KS |
Postal Code: | 667012645 |
Phone Number: | 6202235000 |
Fax Number: | 6202235011 |
NPI Enumeration Date: | 09/15/2010 |
NPI Last Update Date: | 01/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2010032711 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |