Individual
TIFFANY J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3451 UNION BLVD, SAINT LOUIS, MO 63115-1142
(314) 888-0970
Mailing address
PO BOX 740019, ATLANTA, GA 30374-0019
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2012022140
MO
Other
Enumeration date
02/05/2013
Last updated
01/21/2026
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