Shanklin, Tiffany Suzanne
Shanklin, Tiffany Suzanne is an individual health care provider with primary practice located at 1805 27Th St , Portsmouth OH 45662-2640. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Shanklin, Tiffany Suzanne can be contacted via phone (740) 356-6891.Contact Information
Primary practice address
1805 27Th St
Portsmouth OH 45662-2640
Phone: (740) 356-6891
Fax: (740) 354-6774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 3007971 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 65591 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 3007971 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN11011990 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN.CNP.021906 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3007971 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APRN11011990 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APRN.CNP.021906 | Ohio |
Profile Details
| NPI number | 1215270350 |
|---|---|
| LBN Legal business name | Shanklin, Tiffany Suzanne |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2013 |
| Last updated | Jan 4th, 2024 - about 11 months 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 | 1215270350 | NPPES |
| Kentucky | MEDICAID | 7100241150 | |
| Kentucky | MEDICAID | 083134 |
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