Individual
CHAKUN TIFFANY MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3050 RIVERWOOD PKWY STE B, GASTONIA, NC 28056-6002
(704) 874-9005
(704) 874-9001
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22402
SC
363L00000X
Nurse Practitioner
Primary
5017016
NC
Other
Enumeration date
11/16/2018
Last updated
11/11/2025
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