Individual
TIFFANY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1407 SAINT ANDREW ST, STE 100, LA CROSSE, WI 54603-3301
(608) 785-6266
Mailing address
W4939 GRANTON RD, NEILLSVILLE, WI 54456-6459
(715) 743-2925
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
163308-30
WI
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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