Individual
TIFFANY L HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5535
(815) 285-5870
Mailing address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5535
(815) 285-5870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022179
IL
Other
Enumeration date
09/22/2020
Last updated
10/07/2020
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