Organization
TIFFANY ROY, FNP, L.L.C.
Active
Other names
Duson Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY SMITH ROY F.N.P. (NURSE PRACTITIONER/OWNER)
(337) 873-8244
Entity
Organization
Contact information
Practice address
110 W. FIRST ST, SUITE A, DUSON, LA 70529
(337) 873-8244
(337) 873-8274
Mailing address
PO BOX 370, DUSON, LA 70529-0370
(337) 873-8244
(337) 873-8274
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
04568
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1592919
—
LA
01
—
5DF41
MEDICARE
LA
Enumeration date
07/29/2008
Last updated
07/25/2022
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