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NPI Code Detail

MEDICARE: MRS. TIFFANY NICOLE GUERRIERI NP-C

MEDICARE: MRS. TIFFANY NICOLE GUERRIERI NP-C
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
1363L00000XNurse Practitioner27783TN

General Provider Information

NPI Number : 1851919062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TIFFANY NICOLE GUERRIERI NP-C
Provider Business Mailing Address
First Line : 3500 N MOUNT JULIET RD STE 201
Second Line :
City : MT JULIET
State : TN
Zip : 37122-3059
Country : US
Telephone Number : 615-758-5672
Fax Number :
Provider Business Practice Location Address
First Line : 3500 N MOUNT JULIET RD STE 201
Second Line :
City : MT JULIET
State : TN
Zip : 37122-3059
Country : US
Telephone Number : 615-758-5672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2020
Last Update Date : 12/11/2021

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