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
Phone: (336) 342-3338
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407504582 | NPPES |
North Carolina | MEDICAID | 5015934 |
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