Individual provider · Type 1 NPI

Tiffany Douglas

Family Nurse Practitioner · New York, NY

NPI number 1588035018 Active

Practice location

75 Varick St Fl 5
New York, NY 10013-1917

Fax (866) 702-0882

Other practice locations

  • 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 · (864) 620-1741
  • 1 Soldiers Field Park, Boston, MA 02163-1722 · (864) 423-3561

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5012697 (NC)
Family Nurse Practitioner 363LF0000XRN270965 (GA)
Nurse Practitioner 363L00000X26784 (SC)
Family Nurse Practitioner Primary 363LF0000X11034085 (FL)
Family Nurse Practitioner 363LF0000XRN2299504 (MA)

Family Nurse Practitioner: Definition to come...

20 other providers at this address

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About NPI 1588035018

Tiffany Douglas's National Provider Identifier is 1588035018, issued on Oct 9, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Feb 7, 2026.