Individual
MRS. TIFFANY NICOLE CHARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC/PC
Contact information
Practice address
4951 GRANDE DR, PENSACOLA, FL 32504-8965
(850) 473-0100
(850) 473-0500
Mailing address
4951 GRANDE DR, PENSACOLA, FL 32504-8965
(850) 473-0100
(850) 473-0500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
113163
NE
363LP0200X
Pediatric Nurse Practitioner
Primary
11013729
FL
363LP0200X
Pediatric Nurse Practitioner
3-000676
AL
363LP0200X
Pediatric Nurse Practitioner
5007990
NC
Other
Enumeration date
09/17/2015
Last updated
01/23/2025
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