Tiffany Stephenson

NPI #1215805882 in Nampa, Idaho

Provider Information

NPI Number: 1215805882
Entity Type: Individual
Name: Tiffany Stephenson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Oct 27, 2025
Last Updated: Oct 27, 2025

Practice Location

Address: 3307 CALDWELL BLVD STE 104
City: Nampa
State: Idaho
ZIP Code: 83651-6403
Phone: (208) 465-4833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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