Individual provider · Type 1 NPI

Tiffany Lee Boulanger, AGACNP

Acute Care Nurse Practitioner · Marietta, GA

NPI number 1700308509 Active

Practice location

400 Tower Rd NE Ste 200
Marietta, GA 30060-9412

Mailing address

7400 Abercorn Street, Ste 704 Box 104
Savannah, GA 31406-2454

Other practice locations

  • 12345 Mercy Blvd, Savannah, GA 31419-3436 · (912) 927-3046

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X236517 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1700308509

Tiffany Lee Boulanger, AGACNP's National Provider Identifier is 1700308509, issued on Jul 13, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Marietta, GA. The record was last updated on Mar 28, 2025.