Individual
MISS TIFFANY MENSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1800 BEACH DR, GULFPORT, MS 39507-1553
(228) 897-4450
Mailing address
1800 BEACH DR, GULFPORT, MS 39507-1553
(228) 897-4450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP06738
LA
363LF0000X
Family Nurse Practitioner
Primary
R881126
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00600252
—
MS
01
—
P01419713
RAILROAD MEDICARE PTAN
MS
Enumeration date
01/26/2012
Last updated
10/14/2025
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