Individual
TIFFANY ANN SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 3RD AVE, CHESAPEAKE, OH 45619-1074
(740) 867-6687
Mailing address
305 N 5TH ST, IRONTON, OH 45638-1578
(740) 532-4858
(740) 532-4859
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R040765
SD
163W00000X
Registered Nurse
RN.369891
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.021585
OH
363L00000X
Nurse Practitioner
CP000667
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245847
—
OH
05
—
1245516251
—
WV
05
—
7100481750
—
KY
Enumeration date
10/24/2011
Last updated
04/23/2025
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