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NPI Code Detail

MEDICARE: TIFFINY DUCHENE FNP

MEDICARE: TIFFINY DUCHENE FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN301709GA
2163WC1500XCommunity Health Registered Nurse4704253931MI

General Provider Information

NPI Number : 1033504543
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFINY DUCHENE FNP
Provider Business Mailing Address
First Line : 4986 N ADAMS RD
Second Line :
City : ROCHESTER
State : MI
Zip : 48306-5017
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 303 FRASER DR
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-3712
Country : US
Telephone Number : 912-877-2227
Fax Number : 912-877-2332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2015
Last Update Date : 06/16/2021

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