Individual
MRS. TIFFANY GREEN TERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
2900 FORSYTHE AVE, MONROE, LA 71201-3010
(318) 600-4364
Mailing address
2900 FORSYTHE AVE, MONROE, LA 71201-3010
(318) 600-4364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07326
LA
Other
Enumeration date
06/14/2013
Last updated
06/14/2023
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