Individual
TIFFANY ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
4000 S LOOP 256, PALESTINE, TX 75801-8467
(903) 731-5000
Mailing address
4000 S LOOP 256, PALESTINE, TX 75801-8467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
950570
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1206768
TX
Other
Enumeration date
06/24/2019
Last updated
11/11/2025
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