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Individual
TIFFANY SUSAN HELMERICH
Active
Individual
TIFFANY SUSAN HELMERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009839
KY
363LF0000X
Family Nurse Practitioner
3009839
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100377220
—
KY
Enumeration date
11/30/2015
Last updated
04/19/2022
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