Individual provider · Type 1 NPI

Tiffany Renae' Wade, NP-C

Family Nurse Practitioner · Tyler, TX

NPI number 1225520505 Active

Practice location

800 E Dawson St
Tyler, TX 75701-2036

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP135663 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1225520505

Tiffany Renae' Wade, NP-C's National Provider Identifier is 1225520505, issued on Jun 3, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Jun 28, 2023.