Tiffany Whiteside
Nursing Home Administrator in Plainfield, NJ. Individual provider (NPI-1).
NPI number1962227751
StatusActive
Last updated in NPPESNov 18, 2024
Details
- NPI
- 1962227751
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Whiteside
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2024
- Certification date
- Nov 15, 2024
- Last updated
- Nov 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376G00000X | Nursing Home Administrator | – | – | Yes |
Practice location
563 East Front StreetApt B
Plainfield, NJ 07062
Phone 908-265-4101
Mailing address
563 East Front StreetApt B
Plainfield, NJ 07062-0706
Phone 908-265-4101 · Fax 330-849-0344
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