Provider Demographics
NPI:1235897091
Name:JAMES, TIFFINY LACHAEL
Entity Type:Individual
Prefix:
First Name:TIFFINY
Middle Name:LACHAEL
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 W LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45214-2631
Mailing Address - Country:US
Mailing Address - Phone:513-488-0088
Mailing Address - Fax:513-376-9713
Practice Address - Street 1:518 W LIBERTY ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45214-2631
Practice Address - Country:US
Practice Address - Phone:513-488-0088
Practice Address - Fax:513-376-9713
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty