Individual
TIFFANY DAWN HAULK JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
7960 SW 60TH AVE, OCALA, FL 34476-6457
(352) 671-6741
(352) 671-6742
Mailing address
7960 SW 60TH AVE, OCALA, FL 34476-6457
(352) 671-6741
(352) 671-6742
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 9421200
FL
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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