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TIFFANE JOLENE STALEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
6203 FERNRIDGE CT, FERNDALE, WA 98248-8030
(360) 209-2315
Mailing address
100 N HOWARD ST # 5205, SPOKANE, WA 99201-0508
(360) 209-2315
(360) 209-2375

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60372115
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61078115
WA

Other

Enumeration date
11/14/2019
Last updated
04/29/2026
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