TIFFANY HENDRICKSON APRN NPI 1891284469

NPI Information

NPI: 1891284469
Provider Name: TIFFANY HENDRICKSON, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
16230 SUMMERLIN RD STE 215
FORT MYERS, FL
ZIP 33908
Phone: (239) 343-6050
Get Directions

Tiffany Hendrickson, APRN is a family nurse practitioner in Fort Myers, FL. Tiffany Hendrickson, APRN NPI is 1891284469. 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:

16230 SUMMERLIN RD STE 215
FORT MYERS, FL
ZIP 33908-769
Phone: (239) 343-6050
Fax: (239) 343-9909

The NPI 1891284469 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2018 and was last updated on 2/15/2023.

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	364S00000X	Clinical Nurse Specialist		APRN9366642	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	APRN9366642	FLORIDA	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	024874300	MEDICAID	FLORIDA

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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