Richardson, Tiffany Lynn

Richardson, Tiffany Lynn is an individual health care provider with primary practice located at 1107 Crown Pointe Dr Suite C, Elizabethtown KY 42701-7123. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Richardson, Tiffany Lynn can be contacted via phone (270) 982-1200.

Contact Information

Primary practice address
1107 Crown Pointe Dr Suite C Elizabethtown KY 42701-7123
Phone: (270) 982-1200
Fax: (270) 234-1952
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5799P Kentucky

Profile Details

NPI number 1275787053
LBN Legal business name Richardson, Tiffany Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2008
Last updated Nov 8th, 2013 - about 11 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 1275787053 NPPES
Other 000000593282 ANTHEM BCBS
MEDICAID 7100064850 ANTHEM BCBS

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