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Contact Information

TIFFANII S JOHNSON
408 ZACHARY WAY
GRANTSVILLE, UT84029-9777
 Phone: 435-830-4936
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TIFFANII S JOHNSON · (Female)

NPI Number 1104622182
Status Active
Credentials
Entity Individual
Enumeration date 02/20/2025
Last updated 03/31/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • UT License # 8716958-4405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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