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Individual

TIFFANIE RENEE STAUFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2662 MEMORIAL BLVD, SPRINGFIELD, TN 37172-3925
(615) 380-8411
Mailing address
2662 MEMORIAL BLVD, SPRINGFIELD, TN 37172-3925
(615) 380-8411

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04659
NC
363A00000X
Physician Assistant
Primary
2558
TN

Other

Enumeration date
01/02/2014
Last updated
07/21/2022
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