Individual provider · Type 1 NPI
Tiffany Lucas, AGNP-C
Primary Care Nurse Practitioner · Mobile, AL
NPI number
1336940634
Active
Practice location
1617 Long Wood Rd
Mobile, AL 36609-5258
Mailing address
7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921
Other practice locations
- 6801 Airport Blvd, Mobile, AL 36608-3709 · (904) 372-3943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | AG02250066 (AL) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1336940634
Tiffany Lucas, AGNP-C's National Provider Identifier is 1336940634, issued on Mar 22, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Mobile, AL. The record was last updated on Sep 23, 2026.