Tiffany Amber Nickens, PA-C
NPI #1386136778 in Redway, California
Provider Information
- NPI Number
- 1386136778
- Entity Type
- Individual
- Name
- Tiffany Amber Nickens, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jun 1, 2018
- Last Updated
- Sep 23, 2025
Practice Location
- Address
- 101 WEST COAST RD
- Address 2
- #B
- City
- Redway
- State
- California
- ZIP Code
- 95560
- Phone
- (707) 923-2783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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