Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffany Douglas

Organization Clinic/Center · NPI 1629448964

Tiffany Douglas is a Clinic/Center in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2015.

Licensed in
MA
In the registry since
2015

Practice location Address checks out

1 Soldiers Field Park Apt 501
Boston, MA 02163-1722
Phone: (864) 423-3561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence RN2299504 (MA)

Record details

NPI number1629448964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Douglas — Fnp/ Primary Care Provider · (864) 423-3561
NPI enumeratedSeptember 29, 2015
Last updated in NPPESSeptember 29, 2015
Mailing address1 Soldiers Field Park, Apt 501, Boston, MA 02163-1722

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