Provider Demographics
NPI:1962265488
Name:CHAPMAN, TIFFANY T (CNA392495)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:T
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:CNA392495
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:
Other - Last Name:LUCAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5224 CUMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-8429
Mailing Address - Country:US
Mailing Address - Phone:813-904-0642
Mailing Address - Fax:
Practice Address - Street 1:5224 CUMBERLAND DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-8429
Practice Address - Country:US
Practice Address - Phone:813-904-0642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health