Individual
TIFFANY NICOLE CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
205 W TYLER ST, CANTON, TX 75103-1352
(903) 567-5437
Mailing address
205 W TYLER ST, CANTON, TX 75103-1352
(903) 567-5437
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1060447
TX
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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