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Individual
TIFFANY DOUGLAS
Active
Individual
TIFFANY DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26784
SC
363L00000X
Nurse Practitioner
5012697
NC
363LF0000X
Family Nurse Practitioner
Primary
11034085
FL
363LF0000X
Family Nurse Practitioner
RN2299504
MA
363LF0000X
Family Nurse Practitioner
RN270965
GA
Other
Enumeration date
10/09/2015
Last updated
02/07/2026
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