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Individual

TIFFANY W OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2201 N AIRPORT RD, JASPER, AL 35504-7058
(205) 221-9351
(205) 221-3700
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
(337) 943-0846

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1136718
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-136718
AL

Other

Enumeration date
03/20/2015
Last updated
10/27/2022
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