Tiffany Sophia Bennett Valid NPI

Individual provider · Family Nurse Practitioner · Corinth, MS

NPI

1134785769

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

903343 (MS)

Sex

Female

Sole proprietor

No

Enumerated

2019-05-20

Last updated

2024-01-31