Individual provider · NPI-1

Tiffany Nicole Charney, CPNP-AC/PC

Nurse Practitioner, Pediatrics · Pensacola, FL

NPI number1679942890
StatusActive
Last updated in NPPESJan 23, 2025

Details

NPI
1679942890
Entity type
Individual (NPI-1)
Name
Mrs. Tiffany Nicole Charney
Credential
CPNP-AC/PC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 17, 2015
Certification date
Jan 23, 2025
Last updated
Jan 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics11013729FLYes
363L00000X Nurse Practitioner113163NE
363LP0200X Nurse Practitioner, Pediatrics5007990NC
363LP0200X Nurse Practitioner, Pediatrics3-000676AL

Practice location

4951 Grande Dr
Pensacola, FL 32504-8965

Phone 850-473-0100 · Fax 850-473-0500

Mailing address

4951 Grande Dr
Pensacola, FL 32504-8965

Phone 850-473-0100 · Fax 850-473-0500

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