MISS TIFFANI L GRANT LD NPI 1770770117

NPI Information

NPI: 1770770117
Provider Name: MISS TIFFANI L GRANT, LD
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE/DIVISION OF GENERAL INTERNAL MED
JACKSON, MS
ZIP 39216
Phone: (601) 984-5660
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MISS Tiffani L Grant, LD is a nutrition and education nutritionist in Jackson, MS. MISS Tiffani L Grant, LD NPI is 1770770117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE/DIVISION OF GENERAL INTERNAL MED
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5660

The enumeration date for this NPI number is 10/1/2007 and was last updated on 6/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education	D1248	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	512I710005	MEDICARE PIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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