Bowen, Tiffany Allison
Bowen, Tiffany Allison is an individual health care provider with primary practice located at 321 E Fifteenth St , Yazoo City MS 39194-2631. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bowen, Tiffany Allison can be contacted via phone (662) 532-1543.Contact Information
Primary practice address
321 E Fifteenth St
Yazoo City MS 39194-2631
Phone: (662) 532-1543
Fax: (662) 532-1544
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | R855554 | Mississippi |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | R855554 | Mississippi |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R855554 | Mississippi |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R855554 | Mississippi |
Profile Details
NPI number | 1073533782 |
---|---|
LBN Legal business name | Bowen, Tiffany Allison |
Credentials | NNP, PNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2006 |
Last updated | Oct 4th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073533782 | NPPES |
Mississippi | MEDICAID | 001003099 |
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