Provider Demographics
NPI:1265990170
Name:HUNT, TIFFANY DARLENE (CNA)
Entity type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:DARLENE
Last Name:HUNT
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 LITTON AVE APT 118
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-3729
Mailing Address - Country:US
Mailing Address - Phone:615-894-5421
Mailing Address - Fax:
Practice Address - Street 1:1120 LITTON AVE APT 118
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-3729
Practice Address - Country:US
Practice Address - Phone:615-894-5421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-10
Last Update Date:2019-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00180859251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health