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NPI Code Detail

MEDICARE: TIFFANY LYNN PRIEST

MEDICARE: TIFFANY LYNN PRIEST
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
1372600000XAdult Companion

General Provider Information

NPI Number : 1932905981
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY LYNN PRIEST
Provider Business Mailing Address
First Line : 6400 CORNHUSKER HWY
Second Line :
City : LINCOLN
State : NE
Zip : 68507-3123
Country : US
Telephone Number : 402-465-5664
Fax Number :
Provider Business Practice Location Address
First Line : 6400 CORNHUSKER HWY
Second Line :
City : LINCOLN
State : NE
Zip : 68507-3123
Country : US
Telephone Number : 402-465-5664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2025
Last Update Date : 02/21/2025

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Directions to “ TIFFANY LYNN PRIEST ” Practice Location

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