MEDICARE: TIFFANY LYNN WILSON 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	RN.337710	OH

General Provider Information

NPI Number	:	1730956301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY LYNN WILSON RN

Provider Business Mailing Address
First Line	:	17896 GAUCHE RD
Second Line	:
City	:	WILLIAMSBURG
State	:	OH
Zip	:	45176-9427
Country	:	US
Telephone Number	:	859-905-9430
Fax Number	:

Provider Business Practice Location Address
First Line	:	17896 GAUCHE RD
Second Line	:
City	:	WILLIAMSBURG
State	:	OH
Zip	:	45176-9427
Country	:	US
Telephone Number	:	859-905-9430
Fax Number	:

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

Provider Enumeration Date	:	12/05/2023
Last Update Date	:	12/05/2023

Similar Medicare Providers

1730148149 — PETER W. SIERSMA MD
Practice Location Address:

14 WILLIAMS ST
WILLIAMSBURG, MA
01096-9427

Practice Phone: 413-268-3616
Practice Fax: 413-268-0337

1548220684 — HANNO P. MUELLNER MD
Practice Location Address:

14 WILLIAMS ST
WILLIAMSBURG, MA
01096-9427

Practice Phone: 413-268-3616
Practice Fax: 413-268-0337

1427470996 — JOANNA ALISE PHEASANT ARNP
Practice Location Address:

14 WILLIAMS ST
WILLIAMSBURG, MA
01096-9427

Practice Phone: 413-268-3616
Practice Fax: 413-923-9311

1083684112 — EASTSIDE INTERNAL MEDICINE-GERIATRICS, INC
Practice Location Address:

1001 W MAIN ST
WILLIAMSBURG, OH
45176-1146

Practice Phone: 513-724-2226
Practice Fax: 513-724-5248

1932170933 — JYOTI J MEHTA MD
Practice Location Address:

1001 W MAIN ST
WILLIAMSBURG, OH
45176-1146

Practice Phone: 513-724-2226
Practice Fax: 513-724-5248

1831125582 — WILLIAMSBURG TOWNSHIP
Practice Location Address:

915 W MAIN ST
WILLIAMSBURG, OH
45176-1147

Practice Phone: 800-962-1484
Practice Fax: 513-772-4464

Directions to “ TIFFANY LYNN WILSON RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.