Individual
TIFFANY ANN CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10040 TWO NOTCH RD, COLUMBIA, SC 29223-4396
(803) 788-1153
Mailing address
10040 TWO NOTCH RD, COLUMBIA, SC 29223-4396
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
23914
SC
363LG0600X
Gerontology Nurse Practitioner
23914
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
23914
SC
Other
Enumeration date
07/13/2020
Last updated
05/13/2021
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