Individual provider · Type 1 NPI
Tiffany Kiana Roberts
Point of Service · Clarksdale, MS
NPI number
1912872060
Active
Practice location
1558 Azalea Dr
Clarksdale, MS 38614-2904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Point of Service Primary | 305S00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1912872060
Tiffany Kiana Roberts's National Provider Identifier is 1912872060, issued on Oct 8, 2025. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Clarksdale, MS. The record was last updated on Oct 8, 2025.