Individual
MRS. TIFFANY ELISE EASTBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 202-2093
(501) 202-6316
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7207
(501) 812-7207
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
120681
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
08/15/2022
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