Provider Demographics
NPI:1811137896
Name:COX, TIFFANY RENEE (BS)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:RENEE
Last Name:COX
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CHESTNUT CT
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555
Mailing Address - Country:US
Mailing Address - Phone:931-267-4809
Mailing Address - Fax:
Practice Address - Street 1:21 E STANLEY ST
Practice Address - Street 2:STE 103
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-3200
Practice Address - Country:US
Practice Address - Phone:931-267-4809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator