Individual provider · Type 1 NPI
Tiffany Camille Sullivan, APRN
Family Nurse Practitioner · Brandon, FL
NPI number
1235918012
Active
Practice location
503 Eichenfeld Dr Ste 104
Brandon, FL 33511-5984
Mailing address
601 15th Ave NW
Ruskin, FL 33570-3507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 9340933 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | 11028986 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1235918012
Tiffany Camille Sullivan, APRN's National Provider Identifier is 1235918012, issued on Sep 21, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brandon, FL. The record was last updated on Apr 25, 2024.