NPI 1912872060

Tiffany Kiana Roberts

Practitioner Point of Service Clarksdale, MS

Practice location

Address: 1558 Azalea Dr, Clarksdale, MS 38614-2904
Phone: (773) 383-8190

Registered specialties (2)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1912872060
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Oct 2025
Record last updated: 8 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.