Individual
TIFFANY EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16777 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3254
(225) 761-5200
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
342994
LA
363AM0700X
Medical Physician Assistant
0110-006876
VA
363AS0400X
Surgical Physician Assistant
0110-006876
VA
Other
Enumeration date
10/23/2019
Last updated
10/21/2025
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