Tiffany Mercedes Connors, APRN
Nurse Practitioner in Fleming Island, FL. Individual provider (NPI-1).
NPI number1518445667
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1518445667
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Mercedes Connors
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2018
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN9281020 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | APRN9281020 | FL |
Practice location
2310 Village Square Pkwy Ste 106cFleming Island, FL 32003-6409
Phone 904-202-7300 · Fax 904-202-2754
Mailing address
Po Box 746654Atlanta, GA 30374-6654
Phone 904-202-2092 · Fax 904-376-4075
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 27 Nurse Practitioner providers in Fleming Island · All 746 providers in Fleming Island
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