Individual provider · Type 1 NPI
Tiffany Nichole Shivock, NP
Nurse Practitioner · Dover, DE
Practice location
665 South Bay Road
Dover, DE 19901
Mailing address
357 W Darby Cir
Dover, DE 19904-6006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | L1-0045172 (DE) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1619853819
Tiffany Nichole Shivock, NP's National Provider Identifier is 1619853819, issued on Aug 13, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dover, DE. The record was last updated on Nov 25, 2025.