Individual
TIFFANI JANE GUYMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM, WHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
4924271-4405
UT
367A00000X
Advanced Practice Midwife
Primary
4924271
UT
Other
Enumeration date
04/15/2019
Last updated
03/02/2020
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