Individual
TIFFANY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1617 LONG WOOD RD, MOBILE, AL 36609-5258
(251) 767-9167
Mailing address
1617 LONG WOOD RD, MOBILE, AL 36609-5258
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG02250066
AL
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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