Individual
TIFFANY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
717 S BOULEVARD, EDMOND, OK 73034-4677
(405) 317-2742
Mailing address
2012 RUNNING BRANCH RD, EDMOND, OK 73013-6684
(405) 317-2742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0084068
OK
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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