TIFFANY D YEARGAN CPNP NPI 1700505773

NPI Information

NPI: 1700505773
Provider Name: TIFFANY D YEARGAN, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3234 MILLER AVE
CROSSVILLE, TN
ZIP 38555
Phone: (931) 707-8700
Get Directions

Tiffany D Yeargan, CPNP is a pediatrics nurse practitioner in Crossville, TN. Tiffany D Yeargan, CPNP NPI is 1700505773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3234 MILLER AVE
CROSSVILLE, TN
ZIP 38555-116
Phone: (931) 707-8700
Fax: (931) 456-0802

The enumeration date for this NPI number is 8/24/2022 and was last updated on 9/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	32143	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q077326	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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