Healthcare Provider Details

I. General information

NPI: 1346906898
Provider Name (Legal Business Name): TIFFANY BANKS ND, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2021
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3287 NORTH MIDDLETOWN RD
PARIS KY
40361-2145
US

IV. Provider business mailing address

3287 NORTH MIDDLETOWN RD
PARIS KY
40361-2145
US

V. Phone/Fax

Practice location:
  • Phone: 859-592-4992
  • Fax: 859-788-6577
Mailing address:
  • Phone: 859-592-4992
  • Fax: 859-788-6577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1147517
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3017535
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: