Individual
TIFFANY ENTREKIN MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 547-4848
Mailing address
2208 JACOBS RD, VESTAVIA, AL 35216-2525
(205) 919-1703
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
11024858
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
1-126132
AL
Other
Enumeration date
07/12/2013
Last updated
02/24/2023
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