Individual
TIFFANY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVE ML 2021, CINCINNATI, OH 45229-3026
(513) 636-6771
(513) 636-4615
Mailing address
3333 BURNET AVE ML 5021, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.019500
OH
363LF0000X
Family Nurse Practitioner
APRN CNP 019500
OH
Other
Enumeration date
07/21/2016
Last updated
01/25/2023
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