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

TIFFANY REENAE GREEN, RN

Active Sole Proprietor

TIFFANY REENAE GREEN, RN is a Home Health Nurse healthcare provider located in OTTAWA, Illinois. NPI 1235969155 is currently active in the NPPES registry. Verify at CMS.

Home Health Nurse · OTTAWA, IL

Registration Details

NPI Number
1235969155
Provider Type
Individual
Gender
Female
NPI Issued
Aug 5, 2024 (2.0618403592669 yrs)
Last Updated
Aug 5, 2024
License
041395886 (IL)
Sole Proprietor
Yes

Practice Information

Address
1200 ADAMS ST
OTTAWA, IL, 613504303
Browse IL providers · Browse ZIP 61350
Phone
8153438276
Primary Specialty
Home Health Nurse
163WH0200X
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.