Individual
TIFFANY SUZANNE SHANKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-6891
(740) 354-6774
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8034
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3007971
KY
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.021906
OH
363LA2100X
Acute Care Nurse Practitioner
APRN11011990
FL
363LG0600X
Gerontology Nurse Practitioner
3007971
KY
363LG0600X
Gerontology Nurse Practitioner
65591
NM
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.021906
OH
363LG0600X
Gerontology Nurse Practitioner
APRN11011990
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3007971
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083134
—
OH
05
—
7100241150
—
KY
Enumeration date
03/27/2013
Last updated
01/04/2024
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