Individual
TIFFANY ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8727
(606) 526-4449
Mailing address
PO BOX 182, CORBIN, KY 40702-0182
(606) 526-4449
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011853
KY
Other
Enumeration date
01/28/2018
Last updated
05/11/2018
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