Individual
TIFFANY GRIGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-1000
Mailing address
5708 W PARMER LN APT 5208, AUSTIN, TX 78727-0306
(903) 520-7603
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
821740
TX
363LN0000X
Neonatal Nurse Practitioner
1033279
TX
Other
Enumeration date
01/20/2021
Last updated
05/20/2021
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