TIFFANY NICOLE COLVIN (NPI# 1972741692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972741692 |
Entity Type | Individual |
Full Name | TIFFANY NICOLE COLVIN |
Credential | PA |
Practice Address |
7016 Normandy Blvd Jacksonville FL 32205-6206 |
Practice Telephone | 9047839428 |
Practice Fax Number | 9047864981 |
Mailing Telephone | 9047839428 |
Mailing Fax Number | 9047864981 |
Enumeration Date | 2009-02-03 |
Last Update Date | 2020-01-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9104910 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 018268500 | 05 | |
NCCPA | 1085909 | 01 | |
FL | MEDICAL LICENSE | PA9104910 | 01 |
Street Address |
7016 NORMANDY BLVD |
City | JACKSONVILLE |
State | FL |
Zip Code | 32205-6206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750382669 | Michael V Sharpe | Family Medicine | 7016 Normandy Blvd, Jacksonville, FL 32205-6206 | 2005-08-02 |
1134772668 | Stephanie Renee Barclay | Nurse Practitioner | 7016 Normandy Blvd, Jacksonville, FL 32205-6206 | 2019-07-23 |
1285048280 | Angela D Khan | Nurse Practitioner | 7016 Normandy Blvd, Jacksonville, FL 32205-6206 | 2014-06-17 |
1356621866 | Brenda Jean Pinson | Nurse Practitioner | 7016 Normandy Blvd, Jacksonville, FL 32205 | 2011-08-29 |
1578898524 | Timothy David Sharpe | Physician Assistant | 7016 Normandy Blvd, Jacksonville, FL 32205-6206 | 2009-10-08 |
1124134051 | West Jax Primary Care, P.a. | Family Medicine | 7016 Normandy Blvd, Jacksonville, FL 32205-6206 | 2006-08-22 |
1205837028 | Gerald Giurato | Family Medicine | 7016 Normandy Blvd, Jacksonville, FL 32205-6206 | 2005-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
1720436363 | Ericka Sampson | Massage Therapist | 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 | 2016-05-24 |
1578921631 | Northstar Counseling | Counselor | 1672 Pershing Rd, Jacksonville, FL 32205 | 2016-02-04 |
1649645144 | Magaly Perez-cruz | Speech-Language Pathologist | 4101-1 College Street, Jacksonville, FL 32205 | 2015-12-09 |
1639448723 | First Choice Adult Daycare and Home Health Ca | Specialist | 5336 Quan Drive, Jacksonville, FL 32205 | 2011-12-20 |
1437434222 | Christopher Styer | Pharmacist | 654 Casset Ave, Jacksonville, FL 32205 | 2011-10-12 |
1871827279 | April Marie Felton | Nurse Practitioner | 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 | 2009-10-01 |
1922244821 | Danielle Marie Sergent | Physical Therapist | 5222 Lenox Ave., Jacksonville, FL 32205 | 2008-12-23 |
1427181775 | Lapp & Associates Behavioral Counselind Ctr | Counselor | 931 Cassat Avenue, Jacksonville, FL 32205 | 2007-03-14 |
1629143326 | Elias Moussa Sargi | Dentist | 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 | 2006-11-21 |
Find all providers in zip 32205 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
1467935213 | Alexis Almonte | Physician Assistant | 655 W 8th St # C-3, Jacksonville, FL 32209-6511 | 2018-09-07 |
1053851535 | Luciana Oran | Physician Assistant | 4849 Florida Club Cir Apt 3104, Jacksonville, FL 32216-1089 | 2017-03-02 |
1699217463 | Ashley C Moyer | Physician Assistant | 5742 Booth Rd Ste A, Jacksonville, FL 32207-5982 | 2016-11-10 |
1437600889 | Lindsay Elizabeth Murrell | Physician Assistant | 14540 Old Saint Augustine Rd Ste 2599, Jacksonville, FL 32258-7420 | 2016-10-20 |
1992178719 | Sonila Musta-kina | Physician Assistant | 1633 Race Track Rd Ste 101, Jacksonville, FL 32259-3237 | 2015-11-02 |
1922409580 | Lindsey Beth Hollingsworth | Physician Assistant | 841 Prudential Dr Ste 1900, Jacksonville, FL 32207-8373 | 2014-09-12 |
1487905220 | Krystin Michelle Greene | Physician Assistant | 4085 University Blvd S Ste 3, Jacksonville, FL 32216-4362 | 2012-09-19 |
1790034296 | Gary Robertson | Physician Assistant | 12964 Winthrop Cove Dr, Jacksonville, FL 32224-7503 | 2012-08-30 |
1366711905 | Jeremiah Taejong Oh | Physician Assistant | 3d Battalion, 8th Marines Psc Box 20104, Camp Lejeune, Jacksonville, NC 28542-0104 | 2011-12-28 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32205 |
Please comment or provide details below to improve the information on TIFFANY NICOLE COLVIN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.