Provider Demographics
NPI:1801432448
Name:ABBOTT, TIFFANY (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:ABBOTT
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6547 MIDNIGHT PASS RD # 1047
Mailing Address - Street 2:
Mailing Address - City:SIESTA KEY
Mailing Address - State:FL
Mailing Address - Zip Code:34242-2506
Mailing Address - Country:US
Mailing Address - Phone:941-444-5656
Mailing Address - Fax:941-200-4294
Practice Address - Street 1:641 CALLE DE PERU
Practice Address - Street 2:
Practice Address - City:SIESTA KEY
Practice Address - State:FL
Practice Address - Zip Code:34242-1507
Practice Address - Country:US
Practice Address - Phone:941-444-5656
Practice Address - Fax:941-200-4294
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003781363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily