| Tiffany Gayle Lee, CPNP-PC | |
| 
					517 Fifth Ave, Picayune, MS 39466-3203  | |
| (601) 799-5865 | |
| Not Available | 
| Full Name | Tiffany Gayle Lee | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Primary Care | 
| Location | 517 Fifth Ave, Picayune, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811756844 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 234680 (Louisiana) | Secondary | 
| 363LP2300X | Nurse Practitioner - Primary Care | 906493 (Mississippi) | Primary | 
| Entity Name | Childrens Hospital Medical Practice Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821090713 PECOS PAC ID: 5597944579 Enrollment ID: O20240315000258  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tiffany Gayle Lee, CPNP-PC 517 Fifth Ave, Picayune, MS 39466-3203 Ph: (504) 619-9733  | Tiffany Gayle Lee, CPNP-PC 517 Fifth Ave, Picayune, MS 39466-3203 Ph: (601) 799-5865  | 
Mrs. Cari Thawn Macdonald, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2274 Highway 43 S, Picayune, MS 39466 Phone: 601-798-3989 Fax: 601-798-3964  | |
Aurora B. King,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Sreet A, Suite A, Picayune, MS 39466 Phone: 601-799-2121 Fax: 601-799-2429  | |
Mr. Aaron Daniel Duracher Jr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1839 Cooper Rd, Picayune, MS 39466 Phone: 769-242-1700  | |
Brittany Shaw, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1839 Cooper Rd Ste 100, Picayune, MS 39466 Phone: 769-242-1700 Fax: 769-242-2148  | |
Christopher L Sones, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Highland Pkwy, Picayune, MS 39466 Phone: 601-358-9400  | |
Mollie Robinson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 517 Fifth Ave, Picayune, MS 39466 Phone: 601-799-5865  | |
Jefferson Buntin, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 Highland Pkwy, Picayune, MS 39466 Phone: 601-358-9765  |