person
Tiffany Boston, APRN
Family Nurse Practitioner in Louisville, Kentucky
NPI 1255766762

Tiffany Boston is a Family Nurse Practitioner based in Chicago, KY and is specialized in Family. Tiffany Boston practices in Louisville, KY and has the professional credentials of APRN. The NPI Number for Tiffany Boston is 1255766762 and holds a License No. 3008148 (Kentucky).

The current practice location address for Tiffany Boston is 3101 Poplar Level Rd Ste 101, Louisville, KY and can be reached out via phone at 502-636-7444 and via fax at 502-636-7112.

Location: 3101 Poplar Level Rd Ste 101, Louisville, KY, 60677-6351
person
Provider Profile Details
NPI Number
1255766762
Provider Name
Tiffany Boston
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
3101 Poplar Level Rd Ste 101, Louisville, KY, 60677-6351
Phone Number
502-636-7444
Fax Number
502-636-7112
Provider Enumeration Date
09/04/2013
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12583598 01 CAQH
7100258120 05 KY
1160651 01 KY ANTHEM
institution
Provider Business Practice Location Address Details
Address
3101 Poplar Level Rd Ste 101
City
State
Zip
40213-1076
Phone Number
502-636-7444
Fax Number
502-636-7112
person
Provider Business Mailing Address Details
Address
3101 Poplar Level Rd Ste 101
City
State
Zip
40213-1076
Phone Number
502-636-7444
Fax Number
502-636-7112
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3008148 (Kentucky)
Definition
Definition to come...
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