Tiffany J Porter, FNP
NPI #1679019301 in Blue Island, Illinois
Provider Information
- NPI Number
- 1679019301
- Entity Type
- Individual
- Name
- Tiffany J Porter, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jan 19, 2017
- Last Updated
- Jun 5, 2019
Practice Location
- Address
- 12200 WESTERN AVE
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-1398
- Phone
- (630) 581-5372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Family Health — Family Health |
| Nurse Practitioner - Family — Family |
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