MEDICARE: TIFFANY MCCLAIN

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
1	363LF0000X	Family Nurse Practitioner	ARNP9328541	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740658954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY MCCLAIN

Provider Business Mailing Address
First Line	:	575 TIMBER TRACE CT
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-1610
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1075 OAKLEAF PLANTATION PKWY
Second Line	:	STE 108
City	:	ORANGE PARK
State	:	FL
Zip	:	32065-3624
Country	:	US
Telephone Number	:	904-282-4565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2015
Last Update Date	:	09/03/2015

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1831397447 — PUBLIX SUPER MARKETS INC
Practice Location Address:

1075 OAKLEAF PLANTATION PKWY , STE 200
ORANGE PARK, FL
32065-3624

Practice Phone: 904-291-5203
Practice Fax: 904-291-5651

1093913212 — ALLISON DASTA BUTLER M.D.
Practice Location Address:

1075 OAKLEAF PLANTATION PKWY , SUITE #108
ORANGE PARK, FL
32065-3624

Practice Phone: 904-282-4565
Practice Fax: 904-282-4225

1942481429 — FAMILY FIRST PRIMARY CARE PA
Practice Location Address:

1075 OAKLEAF PLANTATION PKWY , SUITE 108
ORANGE PARK, FL
32065-3624

Practice Phone: 904-282-4565
Practice Fax: 904-282-4225

1649517657 — TERESA MARIE PONDER PHARM D
Practice Location Address:

1075 OAKLEAF PLANTATION PKWY , STE 200
ORANGE PARK, FL
32065-3624

Practice Phone: 904-291-5203
Practice Fax: 904-291-5651

1306399126 — LAELISHA PATTON ARNP
Practice Location Address:

1075 OAKLEAF PLANTATION PKWY , #108
ORANGE PARK, FL
32065-3624

Practice Phone: 904-282-4565
Practice Fax:

Directions to “ TIFFANY MCCLAIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.