Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A124123 | CA |
Y | 207VE0102X | Reproductive Endocrinologist | 59159 | MN |
NPI | 1073905998 |
---|---|
Provider Name | Dr. Tiffanny Latrice Jones |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2015 |
Last Update Date | 03/06/2015 |