Provider Demographics
NPI:1417710443
Name:ADAMS, TIFFANY (CNM)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 POND MILL CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-2858
Mailing Address - Country:US
Mailing Address - Phone:757-817-4498
Mailing Address - Fax:
Practice Address - Street 1:8239 MEADOWBRIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2318
Practice Address - Country:US
Practice Address - Phone:804-730-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife