Individual provider · Type 1 NPI

Tiffany Brackus, FNP

Family Nurse Practitioner · Nampa, ID

NPI number 1194336339 Active

Practice location

207 1st St S
Nampa, ID 83651-3703

Fax (208) 466-0009

Mailing address

PO Box 9
Nampa, ID 83653-0009

Other practice locations

  • 790 E 5th St, Coquille, OR 97423-1755 · (541) 396-3111
  • 223 16th Ave N, Nampa, ID 83687-4058 · (208) 467-7654

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XTEMP65467 (ID)
Family Nurse Practitioner Primary 363LF0000X202009819NP-PP (OR)

Family Nurse Practitioner: Definition to come...

48 other providers at this address

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About NPI 1194336339

Tiffany Brackus, FNP's National Provider Identifier is 1194336339, issued on Aug 12, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Nampa, ID. The record was last updated on Aug 28, 2023.