Provider Demographics
NPI:1891126421
Name:ALSTON-MORGAN, TIFFANY L (RN)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:L
Last Name:ALSTON-MORGAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6499 POLK CITY ROAD
Mailing Address - Street 2:HAINES CITY
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-9619
Mailing Address - Country:US
Mailing Address - Phone:863-348-2660
Mailing Address - Fax:
Practice Address - Street 1:6499 POLK CITY RD
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-9619
Practice Address - Country:US
Practice Address - Phone:863-348-2660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-08
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY655411-1163W00000X
FLRN9645308163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered Nurse