Individual provider · Type 1 NPI

Tiffany Brintle Reisser, MSN, FNP-C

Nurse Practitioner · Charlotte, NC

NPI number 1104497171 Active

Practice location

13460 Plaza Road Ext Ste 100
Charlotte, NC 28215-8923

Fax (704) 316-4998

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 130 James Ave, Locust, NC 28097-4506 · (704) 271-3777

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5014717 (NC)
Family Nurse Practitioner 363LF0000X5014717 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104497171

Tiffany Brintle Reisser, MSN, FNP-C's National Provider Identifier is 1104497171, issued on Jul 9, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 30, 2023.