Hendrickson, Tiffany

Hendrickson, Tiffany is an sole proprietor health care provider with primary practice located at 16230 Summerlin Rd Ste 215 , Fort Myers FL 33908-5769. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hendrickson, Tiffany can be contacted via phone (239) 343-6050.

Contact Information

Primary practice address
16230 Summerlin Rd Ste 215 Fort Myers FL 33908-5769
Phone: (239) 343-6050
Fax: (239) 343-9909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X APRN9366642 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9366642 Florida

Profile Details

NPI number 1891284469
LBN Legal business name Hendrickson, Tiffany
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2018
Last updated Feb 15th, 2023 - about 3 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 1891284469 NPPES
Florida MEDICAID 024874300

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