Individual
TIFFANY GAYLA CLENDENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
410 N 4TH ST, LONGVIEW, TX 75601-6511
(903) 234-8808
(903) 212-7899
Mailing address
PO BOX 489, MT ENTERPRISE, TX 75681-0489
(903) 392-8203
(866) 835-6516
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP139914
TX
Other
Enumeration date
12/04/2018
Last updated
08/25/2022
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