Individual
MRS. TIFFANY NICOLE CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1339 S BROADWAY ST, SULPHUR SPRINGS, TX 75482-4895
(903) 951-1001
Mailing address
965 COUNTY ROAD 1040, COOPER, TX 75432-8519
(940) 768-9839
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1087041
TX
363LF0000X
Family Nurse Practitioner
1087041
TX
Other
Enumeration date
07/08/2022
Last updated
07/02/2024
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