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Individual

TIFFANY SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4300 E FLAMINGO AVE, NAMPA, ID 83687-3138
(208) 302-4600
(208) 302-4655
Mailing address
5600 JEANINE DR, LOUISVILLE, KY 40219-1051
(502) 550-3078
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3008369
KY
363LF0000X
Family Nurse Practitioner
71004874A
IN
363LN0000X
Neonatal Nurse Practitioner
10045180
OR
363LN0000X
Neonatal Nurse Practitioner
Primary
1371469
ID
363LN0000X
Neonatal Nurse Practitioner
3008369
KY

Other

Enumeration date
04/03/2014
Last updated
09/19/2025
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