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Individual

MRS. TIFFANY SHEA THOMPSON

Active
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Individual

MRS. TIFFANY SHEA THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNC, NNP-BC

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
720968
TX
363LN0000X
Neonatal Nurse Practitioner
720968
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP124774
TX

Other

Enumeration date
11/07/2013
Last updated
04/15/2024
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