Individual
TIFFANY NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106
(505) 272-2800
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP02970
NM
Other
Enumeration date
07/11/2016
Last updated
04/10/2026
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