Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY J PORTER, FNP
Active Sole ProprietorTIFFANY J PORTER, FNP is a Family Nurse Practitioner healthcare provider located in BLUE ISLAND, Illinois. NPI 1679019301 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BLUE ISLAND, IL
Registration Details
- NPI Number
- 1679019301
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2017 (9.5339092433551 yrs)
- Last Updated
- Jun 5, 2019
- Licenses
-
209015112 (IL)209015112 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12200 WESTERN AVEBLUE ISLAND, IL, 604061398Browse IL providers · Browse ZIP 60406
- Phone
- 6305815372
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in BLUE ISLAND, IL
| Name | Credential | NPI |
|---|---|---|
| MS. JUSTYNA E POMIOTLO | N.P. | 1629475546 |
| ROSELINE CHIBUZO NWOKEJI | FNP | 1831552884 |
| MARISA REYES | — | 1568997369 |
| JENNIFER R. KOMADA | NP-C | 1245754787 |
| DORIS FANDOHAN | NURSE PRACTITIONER | 1679038186 |
| MARICSA SANCHEZ | — | 1447884788 |
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.