TIFFANY LACHELLE AVERA NPI 1447592985

NPI Information

Tiffany Lachelle Avera is a nutrition and pediatric dietitian registered in Atlanta, GA. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. Tiffany Lachelle Avera NPI is 1447592985. 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:

80 JESSE HILL JR DR SE
ATLANTA, GA
ZIP 30303-031
Phone: (404) 616-6172

The enumeration date for this NPI number is 3/22/2013 and was last updated on 3/22/2013.

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:

Other Identifiers

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

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