Individual
TIFFANY CHANEL WINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP - C
Contact information
Practice address
5238 WHITE OAK DR, SMITHTON, IL 62285-3735
(708) 305-1560
(708) 305-1560
Mailing address
5238 WHITE OAK DR, SMITHTON, IL 62285-3735
(708) 305-1560
(708) 305-1560
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
2025054157
MO
363LP2300X
Primary Care Nurse Practitioner
Primary
209034325
IL
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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