Individual
MRS. TIFFANY SMITH ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
110 W. FIRST ST, SUITE A, DUSON, LA 70529
(337) 873-8244
(337) 873-8274
Mailing address
PO BOX 370, DUSON, LA 70529-0370
(337) 873-8244
(337) 873-8274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04568
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1592919
—
LA
01
—
3A809DF41
MEDICARE
LA
Enumeration date
12/13/2007
Last updated
07/25/2022
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