MEDICARE: MRS. TIFFANY L ALSTON-MORGAN RN

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	163W00000X	Registered Nurse	655411-1	NY
2	163W00000X	Registered Nurse	RN9645308	FL

General Provider Information

NPI Number	:	1891126421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TIFFANY L ALSTON-MORGAN RN

Provider Business Mailing Address
First Line	:	6499 POLK CITY ROAD
Second Line	:	HAINES CITY
City	:	HAINES CITY
State	:	FL
Zip	:	33844-9619
Country	:	US
Telephone Number	:	863-348-2660
Fax Number	:

Provider Business Practice Location Address
First Line	:	6499 POLK CITY RD
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-9619
Country	:	US
Telephone Number	:	863-348-2660
Fax Number	:

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

Provider Enumeration Date	:	12/08/2013
Last Update Date	:	01/05/2024

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