person
Tiffany Sophia Bennett
Family Nurse Practitioner in Corinth, Mississippi
NPI 1134785769

Tiffany Sophia Bennett is a Family Nurse Practitioner based in Corinth, MS and is specialized in Family. Tiffany Sophia Bennett practices in Corinth, MS. The NPI Number for Tiffany Sophia Bennett is 1134785769 and holds a License No. 903343 (Mississippi).

The current practice location address for Tiffany Sophia Bennett is 304 S Parkway St, Corinth, MS and can be reached out via phone at 662-642-1560 and via fax at 662-200-5994.

Location: 304 S Parkway St, Corinth, MS, 38834-5913
person
Provider Profile Details
NPI Number
1134785769
Provider Name
Tiffany Sophia Bennett
Credential
Provider Entity Type
Individual
Gender
Female
Address
304 S Parkway St, Corinth, MS, 38834-5913
Phone Number
662-642-1560
Fax Number
662-200-5994
Provider Enumeration Date
05/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T12267A 01 TN MEDICARE
900162 01 MS MEDICARE
PENDING 05 MS
Q054688 05 TN
institution
Provider Business Practice Location Address Details
Address
304 S Parkway St
City
State
Zip
38834-5913
Phone Number
662-642-1560
Fax Number
662-200-5994
person
Provider Business Mailing Address Details
Address
304 S Parkway St
City
State
Zip
38834-5913
Phone Number
662-642-1560
Fax Number
662-200-5994
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
903343 (Mississippi)
Definition
Definition to come...
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