Individual
DR. ELIZABETH M TIFFANY-ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, DNP, APN-C
Contact information
Practice address
239 HURFFVILLE CROSSKEYS RD STE 210, SEWELL, NJ 08080-4003
(856) 589-0300
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN06948100
NJ
363LF0000X
Family Nurse Practitioner
VP006074B
PA
Other
Enumeration date
11/04/2005
Last updated
09/27/2024
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