Individual provider · Type 1 NPI
Tiffany S. Basham, DNP, FNP-BC
Family Nurse Practitioner · Elizabethtown, KY
NPI number
1891188702
Active
Practice location
1106 Julianna Ct
Elizabethtown, KY 42701-7936
Fax (270) 900-4985
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000019657 (TN) |
| Family Nurse Practitioner Primary | 363LF0000X | 95015563 (CA) |
| Family Nurse Practitioner | 363LF0000X | 3011255 (KY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1891188702
Tiffany S. Basham, DNP, FNP-BC's National Provider Identifier is 1891188702, issued on Mar 17, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elizabethtown, KY. The record was last updated on Sep 22, 2025.