Individual provider · Type 1 NPI

Tiffany P. Frost

Gerontology Nurse Practitioner · Monroe, LA

NPI number 1104474725 Active

Practice location

1325 Louisville Ave
Monroe, LA 71201-6021

Fax (318) 807-1504

Mailing address

130 Desiard St Ste 355
Monroe, LA 71201-7363

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN085658 (LA)
Gerontology Nurse Practitioner Primary 363LG0600X208487 (LA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1104474725

Tiffany P. Frost's National Provider Identifier is 1104474725, issued on Aug 27, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Monroe, LA. The record was last updated on Sep 19, 2019.