Individual provider · Type 1 NPI

Tiffany Gomez-Grubb, NP

Family Nurse Practitioner · Shreveport, LA

NPI number 1275422339 Active

Practice location

1666 E Bert Kouns Industrial Loop Ste 105
Shreveport, LA 71105-5718

Fax (318) 212-3525

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X208272 (LA)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1275422339

Tiffany Gomez-Grubb, NP's National Provider Identifier is 1275422339, issued on Jul 1, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Sep 21, 2026.