Individual
MRS. TIFFANY FARMER VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
109 W 27TH ST STE 55, NEW YORK, NY 10001-0265
(833) 351-8255
Mailing address
202 VILLAGE CIR STE 3, SLIDELL, LA 70458-5418
(985) 774-4989
(985) 288-5466
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP06193
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2121375
—
LA
01
—
295230
LA MEDICARE
LA
01
—
331485
APRN
AZ
01
—
4704394129
APRN
MI
01
—
904611
APRN
MS
01
—
AP06193
LA LICENSE
LA
01
—
APRN11025474
APRN
FL
01
—
C-APN.0104467-C-NP
APRN
CO
01
—
RN097301
LA LICENSE
LA
Enumeration date
07/26/2010
Last updated
01/17/2026
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