Provider Demographics
NPI:1467246611
Name:WATERS, TIFFANI LYN NICOLE (RN)
Entity type:Individual
Prefix:MS
First Name:TIFFANI
Middle Name:LYN NICOLE
Last Name:WATERS
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6231 S US HIGHWAY 31
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-8007
Mailing Address - Country:US
Mailing Address - Phone:812-526-2611
Mailing Address - Fax:812-526-8527
Practice Address - Street 1:6231 S US HIGHWAY 31
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-8007
Practice Address - Country:US
Practice Address - Phone:812-526-2611
Practice Address - Fax:812-526-8527
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program