Individual
TIFFANY ALANA TUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3339
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07845
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18788053
MEDICAID
MS
05
—
2378546
—
LA
Enumeration date
09/23/2014
Last updated
02/05/2015
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