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Tiffany Sturdivant
Attendant Care Provider in Columbus, Mississippi
NPI 1790221943

Tiffany Sturdivant is an Attendant Care Provider based in Columbus, MS and is specialized in Attendant Care Provider. Tiffany Sturdivant practices in Columbus, MS. The NPI Number for Tiffany Sturdivant is 1790221943 and holds a License No. 1059530 (Mississippi).

The current practice location address for Tiffany Sturdivant is 1504 23Rd St N, Columbus, MS and can be reached out via phone at 662-609-4976 and via fax at 662-223-3051. You can also correspond with Tiffany Sturdivant through the mailing address at 1504 23RD ST N, COLUMBUS, MS - 39701-2528 (mailing address contact number: 662-609-4976).

Location: 1504 23Rd St N, Columbus, MS, 39701-2528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790221943
Provider Name
Tiffany Sturdivant
Credential
Provider Entity Type
Individual
Gender
Female
Address
1504 23Rd St N, Columbus, MS, 39701-2528
Phone Number
662-609-4976
Fax Number
662-223-3051
Provider Enumeration Date
01/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1504 23Rd St N
City
Columbus
State
Mississippi
Zip
39701-2528
Phone Number
662-609-4976
Fax Number
662-223-3051
person
Provider Business Mailing Address Details
Address
1504 23Rd St N
City
Columbus
State
Mississippi
Zip
39701-2528
Phone Number
662-609-4976
Fax Number
662-223-3051
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
1059530 (Mississippi)
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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