Provider Demographics
NPI:1386446110
Name:ASHBY-FUNCHES, TIFFANY (APN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:
Last Name:ASHBY-FUNCHES
Suffix:
Gender:
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:ASHBY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN, FNP-BC
Mailing Address - Street 1:3626 N SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61604-1401
Mailing Address - Country:US
Mailing Address - Phone:309-308-5100
Mailing Address - Fax:
Practice Address - Street 1:3626 N SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61604-1401
Practice Address - Country:US
Practice Address - Phone:309-308-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.031975363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily