Individual provider · Type 1 NPI

Tiffany Wilson, CRNP

Family Nurse Practitioner · Leonardtown, MD

NPI number 1467925669 Active

Practice location

41680 Miss Bessie Dr
Leonardtown, MD 20650-2906

Mailing address

41680 Miss Bessie Dr Ste 301
Leonardtown, MD 20650-2965

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN1041996 (DC)
Registered Nurse 163W00000XRR223215 (MD)
Family Nurse Practitioner Primary 363LF0000XR223215 (MD)

Family Nurse Practitioner: Definition to come...

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About NPI 1467925669

Tiffany Wilson, CRNP's National Provider Identifier is 1467925669, issued on Jan 10, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Leonardtown, MD. The record was last updated on Oct 1, 2019.