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Individual
MRS. TIFFANY ELIZABETH WILSON
Active
Individual
MRS. TIFFANY ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP130206
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP130206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2G3166
MEDICARE PTAN
TX
Enumeration date
03/11/2016
Last updated
09/17/2026
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