Miss Tiffany Moore Brassard, RD is a
Dietitian, Registered based in Seymour Johnson A F B, North Carolina. Miss Tiffany Moore Brassard is licensed to practice in North Carolina (license number L003702) and her current practice location is
1050 Jabarrah Ave, Seymour Johnson A F B, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 722-1822.
NPI number for Miss Tiffany Moore Brassard is 1285918342 and her current mailing address is 1050 Jabarrah Ave, Seymour Johnson A F B, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285918342.
Healthcare Provider's Profile
Full Name | Miss Tiffany Moore Brassard |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1050 Jabarrah Ave, Seymour Johnson A F B, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285918342
- Provider Enumeration Date: 10/06/2011
- Last Update Date: 10/06/2011
Medical Identifiers
Medical identifiers for Miss Tiffany Moore Brassard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285918342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | L003702 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Tiffany Moore Brassard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Tiffany Moore Brassard, RD 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 Ph: (919) 722-1822 | Miss Tiffany Moore Brassard, RD 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 Ph: (919) 722-1822 |
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