Jenkins, Tiffany Charlotte
Jenkins, Tiffany Charlotte is an individual health care provider with primary practice located at 1497 W Elk Ave Suite 21, Elizabethton TN 37643-2895. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jenkins, Tiffany Charlotte can be contacted via phone (423) 542-7420.Contact Information
Primary practice address
1497 W Elk Ave Suite 21
Elizabethton TN 37643-2895
Phone: (423) 542-7420
Fax: (423) 542-7425
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN0000014278 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0024170252 | Virginia |
Profile Details
NPI number | 1083846984 |
---|---|
LBN Legal business name | Jenkins, Tiffany Charlotte |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2009 |
Last updated | Feb 29th, 2016 - about 8 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 | 1083846984 | NPPES |
Tennessee | MEDICAID | 1515754 | |
Tennessee | MEDICAID | 1083846984 |
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