Individual
TIFFANY HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1026 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-1317
(334) 489-9115
(334) 489-9116
Mailing address
1026 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-1317
(334) 489-9115
(334) 489-9116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013467
KY
Other
Enumeration date
06/18/2019
Last updated
07/03/2025
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