Individual
TIFFANY B GRIFFIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1013 DEWEY AVE, POTEAU, OK 74953-4409
(918) 647-2929
(918) 647-2288
Mailing address
PO BOX 1148, POTEAU, OK 74953-1148
(918) 635-3192
(918) 635-3308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76959
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200825590
—
OK
Enumeration date
03/01/2017
Last updated
04/23/2019
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