Individual provider · NPI-1
Tiffany Davis, CRNP
Family Medicine · Alexander City, AL
NPI number1740974146
StatusActive
Last updated in NPPESJun 7, 2023
Details
- NPI
- 1740974146
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Davis
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2023
- Certification date
- Jun 7, 2023
- Last updated
- Jun 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 1-165687 | AL | Yes |
Practice location
1303 N Central AveAlexander City, AL 35010-1282
Phone 256-307-7471
Mailing address
1303 N Central AveAlexander City, AL 35010
Phone 256-307-7471
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