Individual
TIFFINI LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722-3210
(225) 683-5292
(225) 683-1310
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-1310
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
AP08634
LA
363LF0000X
Family Nurse Practitioner
Primary
AP08634
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2435299
—
LA
Enumeration date
04/28/2016
Last updated
02/11/2019
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