Individual
TIFFANY RENEE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
751 ROUTE 37 W, TOMS RIVER, NJ 08755-5032
(800) 805-6989
Mailing address
1636 BREAKERS DR, MANAHAWKIN, NJ 08050-5104
(609) 207-9485
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
26NR16288200
NJ
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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