Most Relevant Information
Provider Data
| NPI Number: | 1003367327 |
| Provider Name: | TIFFANY PINCKNEY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/21/2016 |
| Last Updated: | 10/21/2016 |
Provider Practice Location
225 3RD ST SE
MINOT
ND
587013958
Practice Location Phone/Fax
| Phone: | 7018523552 |
| Fax: | 7018570756 |
Provider Mailing Location
PO BOX 2209
225 3RD ST SE
MINOT
ND
587022209
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |