Individual
TIFFANY AMISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN PMHNP-BC
Contact information
Practice address
3000 SCHATULGA RD, COLUMBUS, GA 31907-3198
(706) 568-5202
Mailing address
920 WOODPINE CT, COLUMBUS, GA 31904-2992
(717) 480-0341
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN287112
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN287112
APRN LICENSE CERTIFICATION NUMBER
GA
Enumeration date
07/08/2022
Last updated
07/08/2022
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