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

TIFFANY AMBER NICKENS, PA-C

Active

TIFFANY AMBER NICKENS, PA-C is a Medical Physician Assistant healthcare provider located in REDWAY, California. NPI 1386136778 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · REDWAY, CA

Registration Details

NPI Number
1386136778
Provider Type
Individual
Gender
Female
NPI Issued
Jun 1, 2018 (8.2027419432118 yrs)
Last Updated
Sep 23, 2025
License
62762 (CA)

Practice Information

Address
101 WEST COAST RD
#B
REDWAY, CA, 95560
Browse CA providers · Browse ZIP 95560
Phone
7079232783
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in REDWAY, CA

Name Credential NPI
MRS. MANDI LISETTE BATTLES PA-C 1538398870
MORGAN DANIELLE HINES 1013482231
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.