Individual
MRS. TIFFANI LYN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
1464 E WHITESTONE BLVD, 201, CEDAR PARK, TX 78613-9058
(512) 260-8100
(512) 260-8103
Mailing address
1464 E WHITESTONE BLVD, 201, CEDAR PARK, TX 78613-9058
(512) 260-8100
(512) 260-8103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
710481
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
710481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218614002
—
TX
05
—
218614003
—
TX
05
—
218614004
—
TX
05
—
21861403
—
TX
Enumeration date
09/05/2007
Last updated
05/02/2012
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