Tiffany J Porter, FNP - Nurse Practitioner in Blue Island, IL

Tiffany J Porter, FNP is a Nurse Practitioner - Family based in Blue Island, Illinois. Tiffany J Porter is licensed to practice in Illinois (license number 209015112) and her current practice location is 12200 Western Ave, Blue Island, Illinois. She can be reached at her office (for appointments etc.) via phone at (630) 581-5372.

NPI number for Tiffany J Porter is 1679019301 and her current mailing address is 1301 Fox Meadow Ct, St Charles, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679019301.

Contact Information

Tiffany J Porter, FNP
12200 Western Ave,
Blue Island, IL 60406-1398
(630) 581-5372
Not Available

Map and Direction




Provider's Profile

Full NameTiffany J Porter
GenderFemale
SpecialityNurse Practitioner - Family
Location12200 Western Ave, Blue Island, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679019301
  • Provider Enumeration Date: 01/19/2017
  • Last Update Date: 06/05/2019

Medical Identifiers

Medical identifiers for Tiffany J Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679019301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SF0001XClinical Nurse Specialist - Family Health 209015112 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209015112 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany J Porter is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tiffany J Porter, FNP
1301 Fox Meadow Ct,
St Charles, IL 60174-1670

Ph: (630) 915-8693
Tiffany J Porter, FNP
12200 Western Ave,
Blue Island, IL 60406-1398

Ph: (630) 581-5372

Reviews and Comments


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Phone: 708-631-2781    
Ms. Brenda Lee Langford, MSN, APRN, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 12757 Western Ave, Blue Island, IL 60406
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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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