Elmore, Tiffany

Elmore, Tiffany is an individual health care provider with primary practice located at 428 S Mustang Rd , Yukon OK 73099-6754. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Elmore, Tiffany can be contacted via phone (405) 577-5477.

Contact Information

Primary practice address
428 S Mustang Rd Yukon OK 73099-6754
Phone: (405) 577-5477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1992049670
LBN Legal business name Elmore, Tiffany
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Nov 19th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992049670 NPPES
Oklahoma MEDICAID 200253070B

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