Provider Demographics
NPI:1235866831
Name:PAIT, TIFFANY COLLINS (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:COLLINS
Last Name:PAIT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 N LEE ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-3237
Mailing Address - Country:US
Mailing Address - Phone:910-356-0324
Mailing Address - Fax:910-207-6133
Practice Address - Street 1:219 N LEE ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3237
Practice Address - Country:US
Practice Address - Phone:910-356-0324
Practice Address - Fax:910-207-6133
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPAIT-Y73DI363LF0000X
NC5017370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily