National Provider Identifier Database

TIFFANY S BASHAM, DNP, FNP-BC – NPI #1891188702
Family


Contact Information

TIFFANY S BASHAM, DNP, FNP-BC
1106 JULIANNA CT
ELIZABETHTOWN, KY42701-7936
Phone: 270-900-4988
Fax: 270-900-4985
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for TIFFANY S BASHAM

NPI Number 1891188702
Credentials DNP, FNP-BC
Entity Individual
Enumeration date 03/17/2015
Last updated 09/22/2025 - About 9 months ago
Sole proprietor1 No
Identifiers
  • CA License #: 95015563
  • KY License #: 3011255
  • TN License #: APN0000019657
Hospital affiliation n/a

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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