Tiffany Denice Redd
Individual provider Active NPI Homemaker · Durant, MS
NPI 1063011682 · NPPES record last updated Oct 23, 2020
Key facts
- NPI
- 1063011682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 15092 S Jackson St
Durant, MS 39063-3900 - Phone
- (662) 571-8362
- NPI assigned
- Oct 23, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
15092 S Jackson St
Durant, MS 39063-3900
Mailing address
15092 S Jackson St
Durant, MS 39063-3900
Phone (662) 571-8362
Other providers in Durant, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.