Leister, Tiffany

Leister, Tiffany is an individual health care provider with primary practice located at 2209 Jefferson Davis Dr , Oxford MS 38655-5221. 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. Leister, Tiffany can be contacted via phone (662) 281-1115.

Contact Information

Primary practice address
2209 Jefferson Davis Dr Oxford MS 38655-5221
Phone: (662) 281-1115
Fax: (662) 281-1113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 871899 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R871899 Mississippi

Profile Details

NPI number 1629302823
LBN Legal business name Leister, Tiffany
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2009
Last updated Apr 14th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629302823 NPPES
Mississippi MEDICAID 02876000

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