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Tiffany G Clark, FNP-C
Family Nurse Practitioner in Lynchburg, Virginia
NPI 1548508203

Tiffany G Clark is a Family Nurse Practitioner based in Rustburg, VA and is specialized in Family. Tiffany G Clark practices in Lynchburg, VA and has the professional credentials of FNP-C. The NPI Number for Tiffany G Clark is 1548508203 and holds a License No. 0024170609 (Virginia).

The current practice location address for Tiffany G Clark is 2215 Landover Pl, Lynchburg, VA and can be reached out via phone at 434-947-3944.

Location: 2215 Landover Pl, Lynchburg, VA, 24588-3276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548508203
Provider Name
Tiffany G Clark
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
2215 Landover Pl, Lynchburg, VA, 24588-3276
Phone Number
434-947-3944
Fax Number
Provider Enumeration Date
01/30/2013
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548508203 05 VA
institution
Provider Business Practice Location Address Details
Address
2215 Landover Pl
City
Lynchburg
State
Virginia
Zip
24501-2115
Phone Number
434-947-3944
Fax Number
person
Provider Business Mailing Address Details
Address
2215 Landover Pl
City
Lynchburg
State
Virginia
Zip
24501-2115
Phone Number
434-947-3944
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024170609 (Virginia)
Definition
Definition to come...
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