Individual
TIFFANY HARRIS WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5870 ALUMNI CIRCLE, MOBILE, AL 36688-0001
(251) 460-7151
(251) 414-8227
Mailing address
5870 ALUMNI CIRCLE, MOBILE, AL 36688-0001
(251) 460-7151
(251) 414-8227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-129608
AL
Other
Enumeration date
08/23/2020
Last updated
08/28/2020
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