Individual provider · Type 1 NPI

Tiffany J. Porter, FNP

Family Nurse Practitioner · Blue Island, IL

NPI number 1679019301 Active

Practice location

12200 Western Ave
Blue Island, IL 60406-1398

Mailing address

1301 Fox Meadow Ct
St. Charles, IL 60174-1670

Specialties and licenses

TaxonomyCodeLicense
Family Health Clinical Nurse Specialist 364SF0001X209015112 (IL)
Family Nurse Practitioner Primary 363LF0000X209015112 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1679019301

Tiffany J. Porter, FNP's National Provider Identifier is 1679019301, issued on Jan 19, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Blue Island, IL. The record was last updated on Jun 5, 2019.