Individual
TIFFANY MAYETTE DEGREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1808 EASTERN PKWY APT 4, LOUISVILLE, KY 40204-1455
(502) 314-8940
Mailing address
1808 EASTERN PKWY APT 4, LOUISVILLE, KY 40204-1455
(502) 314-8940
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018909
KY
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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