Individual
MISS TIFFANY SHANNON RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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
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