Individual
TIFFANY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
PO BOX 951, HEYBURN, ID 83336-0951
(208) 572-0096
Mailing address
PO BOX 951, HEYBURN, ID 83336-0951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78786
ID
Other
Enumeration date
05/08/2025
Last updated
05/21/2025
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