Hayes, Tiffany Lacole
Hayes, Tiffany Lacole is an sole proprietor health care provider with primary practice located at 2051 Clevidence Blvd Suite 1, Clarksville IN 47129-2278. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hayes, Tiffany Lacole can be contacted via phone (812) 280-9145.Contact Information
Primary practice address
2051 Clevidence Blvd Suite 1
Clarksville IN 47129-2278
Phone: (812) 280-9145
Fax: (812) 280-6627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 28165938A | Indiana |
| Nursing Service Providers / Emergency | 163WE0003X | 1116764 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3007179 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71003799A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71003799B | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3007179 | Kentucky |
Profile Details
| NPI number | 1518234491 |
|---|---|
| LBN Legal business name | Hayes, Tiffany Lacole |
| Credentials | MSN, ARNP, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2011 |
| Last updated | Jul 11th, 2016 - about 9 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 | 1518234491 | NPPES |
| Kentucky | Other | 132355 | SIHO |
| Kentucky | MEDICAID | 201054410 | SIHO |
| Kentucky | Other | 000000746934 | SIHO |
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