Individual
TIFFANIE NINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1407 KING ST, BEAUFORT, SC 29902-4937
(714) 756-1491
Mailing address
2921 WATERS EDGE CT, BEAUFORT, SC 29902-4388
(714) 756-1491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
256594
SC
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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