Provider Demographics
NPI:1730710955
Name:HAMM YANNI, TIFFANY (FNP)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:HAMM YANNI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:HAMM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C, FNP-BC
Mailing Address - Street 1:600 N VIRGINIA AVENUE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789
Mailing Address - Country:US
Mailing Address - Phone:407-599-3434
Mailing Address - Fax:407-599-3438
Practice Address - Street 1:600 N VIRGINIA AVENUE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789
Practice Address - Country:US
Practice Address - Phone:407-599-3434
Practice Address - Fax:407-599-3438
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003132363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily