Archer, Tiffany Jo

Archer, Tiffany Jo is an individual health care provider with primary practice located at 5501 Marvin Shields Blvd , Gulfport MS 39501-9007. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Archer, Tiffany Jo can be contacted via phone (228) 871-4033.

Contact Information

Primary practice address
5501 Marvin Shields Blvd Gulfport MS 39501-9007
Phone: (228) 871-4033
Fax: (228) 871-3344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 15-01691 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 19896 California

Profile Details

NPI number 1386896595
LBN Legal business name Archer, Tiffany Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Nov 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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