Provider Demographics
NPI:1386347086
Name:HEARD, TIFFANY MICHELLE
Entity type:Individual
Prefix:MISS
First Name:TIFFANY
Middle Name:MICHELLE
Last Name:HEARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5630 FOLCHI DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-3218
Mailing Address - Country:US
Mailing Address - Phone:513-692-1823
Mailing Address - Fax:
Practice Address - Street 1:5630 FOLCHI DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-3218
Practice Address - Country:US
Practice Address - Phone:513-692-1823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No347C00000XTransportation ServicesPrivate Vehicle