Individual provider · Type 1 NPI

Tiffany Mike, NP

Nurse Practitioner · Macon, GA

NPI number 1205659562 Active

Practice location

640 Martin Luther King Jr Blvd Ste 200
Macon, GA 31201-3297

Other practice locations

  • 309 Osigian Blvd, Warner Robins, GA 31088-8953 · (478) 745-5455

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XRN146927 (GA)
Nurse Practitioner Primary 363L00000XRN146927 (GA)

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…

4 other providers at this address

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About NPI 1205659562

Tiffany Mike, NP's National Provider Identifier is 1205659562, issued on Nov 5, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Macon, GA. The record was last updated on Feb 19, 2026.