Individual
MISS TIFFANY SHANNON RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6410 WALNUT GROVE RD, HORN LAKE, MS 38637-2023
(901) 652-0880
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
15099
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
864509
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200020616
—
MS
05
—
Q057613
—
TN
Enumeration date
11/09/2006
Last updated
02/16/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us