Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1366313041 |
| LBN Legal business name | ADVANCE MOBILE PRACTICE LLC |
| Authorized official | TIFFANY GASKINS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/15/2025 |
| Last updated | 09/15/2025 - About 9 months ago |
| Identifiers | n/a |
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