Individual
TIFFANY ROSHEA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1400 COMMERCE BLVD, SUITE 21, ANNISTON, AL 36207-9451
(256) 831-3058
(256) 835-8681
Mailing address
1400 COMMERCE BLVD, SUITE 21, ANNISTON, AL 36207-9451
(256) 831-3058
(256) 835-8681
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1533
AL
363LF0000X
Family Nurse Practitioner
Primary
1-148589
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51531936
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/22/2006
Last updated
12/08/2017
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