Tiffany N Godfrey, APRN, FNP-C
Nurse Practitioner, Family in Anderson, IN. Individual provider (NPI-1).
NPI number1164063962
StatusActive
Last updated in NPPESApr 27, 2022
Details
- NPI
- 1164063962
- Entity type
- Individual (NPI-1)
- Name
- Tiffany N Godfrey
- Credential
- APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2019
- Certification date
- Apr 27, 2022
- Last updated
- Apr 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 28184427a | IN | Yes |
| 363L00000X | Nurse Practitioner | APRN.CNP.0000074 | OH |
Practice location
2015 Jackson StAnderson, IN 46016-4337
Phone 765-646-2511
Mailing address
3024 Country Estates DrNew Castle, IN 47362-5107
Phone 765-524-3589
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