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NPI Code Detail

MEDICARE: TIFFANY MAYFIELD DNP

MEDICARE:   TIFFANY  MAYFIELD  DNP
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
1363LC0200XCritical Care Medicine Nurse Practitioner906464MS
2363LC0200XCritical Care Medicine Nurse Practitioner36147TN

General Provider Information

NPI Number : 1619835311
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY MAYFIELD DNP
Provider Business Mailing Address
First Line : 6711 DARREN DR
Second Line :
City : OLIVE BRANCH
State : MS
Zip : 38654-6374
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6019 WALNUT GROVE RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2113
Country : US
Telephone Number : 901-226-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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