TIFFANY YVETTE GARDNER FNP-C NPI 1790257392

NPI Information

NPI: 1790257392
Provider Name: TIFFANY YVETTE GARDNER, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
705 E MARSHALL AVE STE 3000
LONGVIEW, TX
ZIP 75601
Phone: (903) 758-2610
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Tiffany Yvette Gardner, FNP-C is a family nurse practitioner in Longview, TX. Tiffany Yvette Gardner, FNP-C NPI is 1790257392. 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:

705 E MARSHALL AVE STE 3000
LONGVIEW, TX
ZIP 75601-661
Phone: (903) 758-2610
Fax: (903) 758-7081

The NPI 1790257392 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/20/2018 and was last updated on 4/26/2024.

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	363LF0000X	Nurse Practitioner	Family	AP139694	TEXAS	Yes

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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