Johnson, Tiffany Charlene

Johnson, Tiffany Charlene is an individual health care provider with primary practice located at 751 Ne Blakely Dr Ste 2030 , Issaquah WA 98029-6201. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Johnson, Tiffany Charlene can be contacted via phone (425) 313-4141.

Contact Information

Primary practice address
751 Ne Blakely Dr Ste 2030 Issaquah WA 98029-6201
Phone: (425) 313-4141
Fax: (425) 313-4140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60210607 Washington
Other Service Providers / Midwife 176B00000X AP61375849 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP61375849 Washington

Profile Details

NPI number 1285340687
LBN Legal business name Johnson, Tiffany Charlene
Credentials CNM, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2023
Last updated Sep 27th, 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 1285340687 NPPES
Washington MEDICAID 2249660

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