MEDICARE: TIFFANY AMANDA WHITE DNP, RN, FNP-BC

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	363LF0000X	Family Nurse Practitioner	278547	NC

General Provider Information

NPI Number	:	1912839176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY AMANDA WHITE DNP, RN, FNP-BC

Provider Business Mailing Address
First Line	:	295 BIBEY RD
Second Line	:
City	:	CARTHAGE
State	:	NC
Zip	:	28327-7227
Country	:	US
Telephone Number	:	910-639-3673
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 MIDLAND RD STE A
Second Line	:
City	:	SOUTHERN PINES
State	:	NC
Zip	:	28387-3300
Country	:	US
Telephone Number	:	910-639-5591
Fax Number	:

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

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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