| NPI | 1053392373 |
|---|---|
| Former Name | TIFFANY D SHELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R137035) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R137035) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2020-03-01 |