Tiffany Burnette, APRN

Individual provider Active NPI Family Nurse Practitioner · Picayune, MS

NPI 1669315511 · NPPES record last updated Aug 27, 2026

Key facts

NPI
1669315511
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
908513 (MS)
Practice address
100 E Boley St
Picayune, MS 39466-2940
Phone
(228) 342-4153
Fax
(228) 342-4153
NPI assigned
Apr 13, 2026
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
865563MSMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 865563 MS
Family Nurse Practitioner 363LF0000X 908513 MS Yes

Addresses

Primary practice location

100 E Boley St
Picayune, MS 39466-2940

Mailing address

100 E Boley St
Picayune, MS 39466-2940
Phone (228) 342-4153

Other providers in Picayune, MS

All providers in Picayune, MS · Family Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.