Clark, Tiffany G
Clark, Tiffany G is an individual health care provider with primary practice located at 2215 Landover Pl , Lynchburg VA 24501-2115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Tiffany G can be contacted via phone (434) 947-3944.Contact Information
Primary practice address
2215 Landover Pl
Lynchburg VA 24501-2115
Phone: (434) 947-3944
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024170609 | Virginia |
Profile Details
| NPI number | 1548508203 |
|---|---|
| LBN Legal business name | Clark, Tiffany G |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2013 |
| Last updated | May 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548508203 | NPPES |
| Virginia | MEDICAID | 1548508203 |
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