Individual
TIFFANY CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
4000 S. WATER TOWER PL, MT. VERNON, IL 62864
(618) 246-2910
(618) 242-8240
Mailing address
102 N DOGWOOD ST, BELLE RIVE, IL 62810-1269
(618) 237-8433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041319773
IL
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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