| Tiffany D Williams, FNP-BC | |
| 
					4375 N Vantage Dr, Fayetteville, AR 72703-4982  | |
| (479) 443-5100 | |
| Not Available | 
| Full Name | Tiffany D Williams | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 4375 N Vantage Dr, Fayetteville, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447902168 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 122185 (Arkansas) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 122185 (Arkansas) | Primary | 
| Entity Name | Ozark Dermatology Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134207483 PECOS PAC ID: 5799712147 Enrollment ID: O20050831000852  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tiffany D Williams, FNP-BC 4375 N Vantage Dr, Fayetteville, AR 72703-4982 Ph: () -  | Tiffany D Williams, FNP-BC 4375 N Vantage Dr, Fayetteville, AR 72703-4982 Ph: (479) 443-5100  | 
Michele L Griffin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 641-780-8696  | |
Durinda Pena, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3232 N North Hills Blvd., Fayetteville, AR 72703 Phone: 479-587-1700 Fax: 479-587-1366  | |
Mrs. Diane H. Morrow, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2630 E Citizens Dr Ste 13, Fayetteville, AR 72703 Phone: 479-571-6000  | |
Colby Hines, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301  | |
Elizabeth Ann-grace Burns, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329  | |
Julia Marsh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 E Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-587-5805 Fax: 479-659-7930  | |
Victoria Renee Peckenpaugh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1708 E Joyce Blvd Ste 2, Fayetteville, AR 72703 Phone: 479-222-1144 Fax: 833-973-4866  |