Provider Demographics
NPI:1730501313
Name:KEMP, TIFFANIE MICHELLE (CRNP)
Entity type:Individual
Prefix:MS
First Name:TIFFANIE
Middle Name:MICHELLE
Last Name:KEMP
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ICE HOUSE DR
Mailing Address - Street 2:
Mailing Address - City:STEWARTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17363-4116
Mailing Address - Country:US
Mailing Address - Phone:717-578-3325
Mailing Address - Fax:
Practice Address - Street 1:2860 WHITEFORD RD UNIT 1
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8992
Practice Address - Country:US
Practice Address - Phone:717-791-2590
Practice Address - Fax:717-221-5466
Is Sole Proprietor?:No
Enumeration Date:2014-01-15
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013184363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA337091FLTMedicare PIN
PAP01355388Medicare PIN