Provider Demographics
NPI:1417914912
Name:TRUMAN, TIFFANY ANDERSON (ARNP)
Entity Type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:ANDERSON
Last Name:TRUMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:RENEE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:117 PEYTON CT
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-7219
Mailing Address - Country:US
Mailing Address - Phone:850-431-5354
Mailing Address - Fax:850-431-6061
Practice Address - Street 1:1300 MICCOSUKEE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5054
Practice Address - Country:US
Practice Address - Phone:850-431-5354
Practice Address - Fax:850-431-6061
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3254792363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics