Individual provider · Type 1 NPI

Tiffany Nicole Green, BS

Student in an Organized Health Care Education/Training Program · Stephenville, TX

NPI number 1174089353 Active

Practice location

133 W Washington St
Stephenville, TX 76401-4254

Call (214) 514-9356 Map

Mailing address

632 S US Highway 281
Stephenville, TX 76401-1501

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174089353

Tiffany Nicole Green, BS's National Provider Identifier is 1174089353, issued on Feb 13, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stephenville, TX. The record was last updated on Feb 13, 2019.