Individual
MRS. TIFFANY BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-5025
Mailing address
6620 KINCHELOE AVE, GWYNN OAK, MD 21207-4336
(443) 683-6558
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R220180
MD
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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