Stackens, Tiffany Latese

Stackens, Tiffany Latese is an individual health care provider with primary practice located at 804 N Parkway , Jackson TN 38305-3058. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Stackens, Tiffany Latese can be contacted via phone (731) 423-3020.

Contact Information

Primary practice address
804 N Parkway Jackson TN 38305-3058
Phone: (731) 423-3020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1598985491
LBN Legal business name Stackens, Tiffany Latese
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 17 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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