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General NPI Number Information
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NPI Number | 1124914981
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Entity Type | Individual
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Provider Name | TIFFANY DENNIS APRN, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4211 HOSPITAL ST
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City | PASCAGOULA
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State | MS
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Zip | 39581-5320
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Country | US
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Telephone | 228-283-4140
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Fax | 228-769-1079
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Provider Business Mailing Address
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Address Line | 2815 NINA DR
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City | PICAYUNE
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State | MS
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Zip | 39466-4925
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Country | US
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Telephone | 601-273-9847
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 237412
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 907250
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License Number State | MS
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