| NPI | 1255711297 |
|---|---|
| Former Name | TIFFANY HOPE STEPHENS TYSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007642) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NC 5007642) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC APN.19719) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2023-10-30 |