Provider Demographics
NPI:1144865197
Name:TURNER, TIFFANIE WEBB (NP)
Entity type:Individual
Prefix:
First Name:TIFFANIE
Middle Name:WEBB
Last Name:TURNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 TANYARD RD
Mailing Address - Street 2:
Mailing Address - City:BOWDON
Mailing Address - State:GA
Mailing Address - Zip Code:30108-2692
Mailing Address - Country:US
Mailing Address - Phone:770-301-1185
Mailing Address - Fax:
Practice Address - Street 1:30 BUCHANAN BYP
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:GA
Practice Address - Zip Code:30113-4924
Practice Address - Country:US
Practice Address - Phone:770-646-8281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA159921363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily