TIFFANY NICKENS, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1386136778
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 62762 (CA) |
Frequently Asked Questions
NPI 1386136778 is the National Provider Identifier for TIFFANY NICKENS, PA-C, a Physician Assistant - Medical provider located in Redway, CA. This NPI was enumerated on June 1, 2018.
TIFFANY NICKENS, PA-C practices at 101 WEST COAST RD, #B, Redway, CA 95560.
Quick Facts
- NPI
- 1386136778
- Type
- Individual
- Enumerated
- Jun 1, 2018
- Last Updated
- Sep 23, 2025
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