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Contact Information

TIFFANY J ARCHER, PA-C
5501 MARVIN SHIELDS BLVD
GULFPORT, MS39501-9007
 Phone: 228-871-4033
 Fax: 228-871-3344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIFFANY J ARCHER · (Female)

NPI # 1386896595
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/21/2008
Last updated 11/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 19896
  • KS License # 15-01691
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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