TIFFANY MCKENNON NPI 1720509755

NPI Information

NPI: 1720509755
Provider Name: TIFFANY MCKENNON
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
11039 COLONIAL TAVERN LN
JACKSONVILLE, FL
ZIP 32221
Phone: (904) 450-1430
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Tiffany Mckennon is a home health aide in Jacksonville, FL. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Tiffany Mckennon NPI is 1720509755. 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:

11039 COLONIAL TAVERN LN
JACKSONVILLE, FL
ZIP 32221-123
Phone: (904) 450-1430

The enumeration date for this NPI number is 6/29/2017 and was last updated on 3/28/2022.

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	License Number	License State	Primary
1	376K00000X	Nurse's Aide			No
2	251E00000X	Home Health			No
3	253Z00000X	In Home Supportive Care			No
4	291U00000X	Clinical Medical Laboratory	10D2254281	FLORIDA	No
5	376J00000X	Homemaker			No
6	374U00000X	Home Health Aide		FLORIDA	Yes

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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