Individual
TIFFANY NICHOLE SHIVOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
665 SOUTH BAY ROAD, DOVER, DE 19901
(443) 425-5078
Mailing address
357 W DARBY CIR, DOVER, DE 19904-6006
(443) 425-5078
(302) 735-3240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
L1-0045172
DE
Other
Enumeration date
08/13/2025
Last updated
11/25/2025
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