Individual
TIFFANY R. BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 589-3123
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5287
(740) 446-5486
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.019308
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180595
—
OH
05
—
1073961678
—
WV
Enumeration date
05/25/2016
Last updated
07/15/2022
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