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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS TIFFANY SHANNON RAY, CRNA

Active

MISS TIFFANY SHANNON RAY, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in HORN LAKE, Mississippi. NPI 1114097615 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · HORN LAKE, MS

Registration Details

NPI Number
1114097615
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2006 (19.762976984473 yrs)
Last Updated
Feb 16, 2026
Licenses
15099 (TN)
864509 (MS)

Practice Information

Address
6410 WALNUT GROVE RD
HORN LAKE, MS, 386372023
Browse MS providers · Browse ZIP 38637
Phone
9016520880
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.