Individual
TIFFANY RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8022
(334) 293-8010
Mailing address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 333-3532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1150225
AL
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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