Tiffany Lucas, AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AG02250066 Issued in AL

Practice address

1617 Long Wood Rd
Mobile, AL 36609-5258

Phone

(251) 767-9167

NPI assigned

Mar 22, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1336940634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 LONG WOOD RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 LONG WOOD RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095258",
            "telephone_number": "251-767-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "TIFFANY",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "AG02250066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Victoria Lowery
• Bruce G Lowman, M.D.
• Alexandria Lucas, LPC
• Eric Darnell Lucas Sr., M.D.
• Julie Rose Lucas, PA-C
• Virginia Hamilton Behlen Lucas, DMD
• Wyndolyn Ludwikowski, PHD
• Todd Douglas Luellen, M.D.
• Brian D Luke, PHARMD
• Chelsea L Lukenbill

• Primary Care Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Primary Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.