Individual provider · Type 1 NPI
Tiffany Ann Douglas, PNP
Pediatric Nurse Practitioner · Dallas, TX
NPI number
1982959904
Active
Practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 681376 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1982959904
Tiffany Ann Douglas, PNP's National Provider Identifier is 1982959904, issued on Jul 16, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Nov 15, 2016.