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Individual

TIFFANII SHAREE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
408 ZACHARY WAY, GRANTSVILLE, UT 84029-9777
(435) 830-4936
Mailing address
408 ZACHARY WAY, GRANTSVILLE, UT 84029-9777
(435) 830-4936

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
8716958-4405
UT
363LG0600X
Gerontology Nurse Practitioner
8716958-4405
UT

Other

Enumeration date
02/20/2025
Last updated
03/31/2026
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