TIFFANY SOPHIA BENNETT NPI 1134785769

NPI Information

NPI: 1134785769
Provider Name: TIFFANY SOPHIA BENNETT
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
304 S PARKWAY ST
CORINTH, MS
ZIP 38834
Phone: (662) 642-1560
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Tiffany Sophia Bennett is a family nurse practitioner in Corinth, MS with 5 years of experience. Tiffany Sophia Bennett NPI is 1134785769. 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:

304 S PARKWAY ST
CORINTH, MS
ZIP 38834-913
Phone: (662) 642-1560
Fax: (662) 200-5994

The NPI 1134785769 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 5/20/2019 and was last updated on 1/31/2024.

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	363LF0000X	Nurse Practitioner	Family	903343	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	T12267A	OTHER	TENNESSEE	MEDICARE
2	900162	OTHER	MISSISSIPPI	MEDICARE
3	PENDING	MEDICAID	MISSISSIPPI
4	Q054688	MEDICAID	TENNESSEE

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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