Tiffany Douglas, - Nurse Practitioner in New York, NY

Tiffany Douglas, is a Nurse Practitioner - Family based in New York, New York. Tiffany Douglas is licensed to practice in Florida (license number 11034085) and her current practice location is 75 Varick St Fl 5, New York, New York. She can be reached at her office (for appointments etc.) via phone at (855) 961-1942.

NPI number for Tiffany Douglas is 1588035018 and her current mailing address is 75 Varick St Fl 5, New York, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588035018.

Contact Information

Tiffany Douglas,
75 Varick St Fl 5,
New York, NY 10013-1917
(855) 961-1942
(866) 702-0882

Map and Direction




Provider's Profile

Full NameTiffany Douglas
GenderFemale
SpecialityNurse Practitioner - Family
Location75 Varick St Fl 5, New York, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588035018
  • Provider Enumeration Date: 10/09/2015
  • Last Update Date: 09/23/2024

Medical Identifiers

Medical identifiers for Tiffany Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588035018NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5012697 (North Carolina)Secondary
363L00000XNurse Practitioner 26784 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family RN270965 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN2299504 (Massachusetts)Secondary
363LF0000XNurse Practitioner - Family 11034085 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany Douglas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tiffany Douglas,
75 Varick St Fl 5,
New York, NY 10013-1917

Ph: (855) 961-1942
Tiffany Douglas,
75 Varick St Fl 5,
New York, NY 10013-1917

Ph: (855) 961-1942

Reviews and Comments


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