Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffany Gomez-Grubb

Individual provider Family Nurse Practitioner · NPI 1275422339

Tiffany Gomez-Grubb is a Nurse Practitioner in Stonewall, Louisiana. Qualified in 2025, 1 year ago. Practices with Magnolia Family Medicine, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2025

Practice location Address checks out

324 Plantation Hills Blvd
Stonewall, LA 71078-2838
Phone: (318) 531-8543
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 208272 (LA)

Record details

NPI number1275422339
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address324 Plantation Hills Blvd, Stonewall, LA 71078-2838

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Magnolia Family Medicine, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stonewall