Individual
MS. TIFFANY NECOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1607 SAINT JAMES CT, TALLAHASSEE, FL 32308-5352
(850) 878-0191
Mailing address
1607 SAINT JAMES CT, TALLAHASSEE, FL 32308-5352
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN020746
GA
164W00000X
Licensed Practical Nurse
PN5188998
FL
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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