TIFFANY NICOLE COLVIN


Address: 7016 Normandy Blvd, Jacksonville, FL 32205-6206
Phone: 9047839428

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9104910 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 018268500 05
NCCPA 1085909 01
FL MEDICAL LICENSE PA9104910 01

Office Location

Street Address 7016 NORMANDY BLVD
City JACKSONVILLE
State FL
Zip Code 32205-6206

Providers in the same location

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

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NPI Name Taxonomy Address Enumeration
1003466830 Brandon Neil Hillard Registered Nurse 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 2019-09-13
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1871827279 April Marie Felton Nurse Practitioner 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 2009-10-01
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City JACKSONVILLE
Zip Code 32205

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Dataset Information

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.

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