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Individual
EMMANUAL TIFFANY NORTHINGTON
Active
Individual
EMMANUAL TIFFANY NORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11004053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11004053
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
01
—
RN9243894
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
07/30/2019
Last updated
01/17/2022
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