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

Tiffany Izoba

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1811795180

Tiffany Izoba is a Nurse Practitioner in Humble, Texas. Qualified in 2010, 16 years ago. Practices with Southern Magnolia Management LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2025
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 13
Humble, TX 77347-0013
Phone: (318) 344-6943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1191744 (TX)

Record details

NPI number1811795180
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southern Magnolia Management Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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