Smith, Tiffini

Smith, Tiffini is an individual health care provider with primary practice located at 9894 E 121St St , Fishers IN 46037. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Smith, Tiffini can be contacted via phone (317) 621-6060.

Contact Information

Primary practice address
9894 E 121St St Fishers IN 46037
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71008212A Indiana

Profile Details

NPI number 1093209348
LBN Legal business name Smith, Tiffini
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2018
Last updated Jun 22nd, 2021 - about 5 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 1093209348 NPPES
Indiana MEDICAID 300017248

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