Tiffany Lavera Jones-Evans
Individual provider Active NPI Registered Nurse · Riverdale, IL
NPI 1306272000 · NPPES record last updated Sep 25, 2013
Key facts
- NPI
- 1306272000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041-415093 (IL)
- Practice address
- 14414 S Union Ave
Riverdale, IL 60827-2636 - Phone
- (773) 317-0957
- NPI assigned
- Sep 25, 2013
- 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 |
|---|---|---|---|
| 041-415093 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041-415093 | IL | Yes |
Addresses
Primary practice location
14414 S Union Ave
Riverdale, IL 60827-2636
Mailing address
14414 S Union Ave
Riverdale, IL 60827-2636
Phone (773) 317-0957
Other providers in Riverdale, IL
- Karen Sue Hill
- House of Hearts II Inc
- Imani Community Clinic
- Ivanhoe Dental Group, LTD.
- Ellen Kimberly Jackson
- Fade Khaleq
- KLR Transport LLC
- Grace H Lee
- Legacy Tax and Transport LLC
- Let'S Go Shuttle Service Corp
All providers in Riverdale, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2013. 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.