Tiffany Daugherty
Individual provider Active NPI Registered Nurse · Rocky Top, TN
NPI 1093584039 · NPPES record last updated Jan 1, 2024
Key facts
- NPI
- 1093584039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 245722 (TN)
- Practice address
- 3026 Lake City Hwy
Rocky Top, TN 37769-5533 - Phone
- (865) 246-8941
- NPI assigned
- Jan 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245722 | TN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | 245722 | TN | Yes |
Addresses
Primary practice location
3026 Lake City Hwy
Rocky Top, TN 37769-5533
Mailing address
3026 Lake City Hwy
Rocky Top, TN 37769-5533
Phone (865) 246-8941
Other providers in Rocky Top, TN
- Brianna Taylor Blakely
- Hannah Marie Braden
- Dac of Rocky Top LLC
- Ashton Nicole Daniel
- Gary Christopoher Daugherty
- Callie Frances Edwards
- Fast Pace Medical Clinic PLLC
- Fast Pace Medical Clinic PLLC
- April Freeman
- Amanda M Gerth-Jones
All providers in Rocky Top, TN · Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 1, 2024. 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.