Wise, Tiffany

Wise, Tiffany is an sole proprietor health care provider with primary practice located at 1352 W Harrison St , Reidsville NC 27320-2606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wise, Tiffany can be contacted via phone (336) 342-3338.

Contact Information

Primary practice address
1352 W Harrison St Reidsville NC 27320-2606
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5015934 North Carolina

Profile Details

NPI number 1407504582
LBN Legal business name Wise, Tiffany
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2022
Last updated Mar 16th, 2022 - about 2 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 1407504582 NPPES
North Carolina MEDICAID 5015934

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