Provider Demographics
NPI:1033649355
Name:CAMPBELL, TIFFANY SINKS (LPN)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:SINKS
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3719 WOODRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6532
Mailing Address - Country:US
Mailing Address - Phone:573-303-2959
Mailing Address - Fax:
Practice Address - Street 1:3719 WOODRIDGE CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6532
Practice Address - Country:US
Practice Address - Phone:573-303-2959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health