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

MS. Tiffany Lauren Lawson, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1699350587

MS. Tiffany Lauren Lawson, NP is a Nurse Practitioner in Brooklyn, New York. Qualified in 2021, 5 years ago. Practices with Revived Soul Medical PC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1329 E 17th St
Brooklyn, NY 11230-6052
Phone: (718) 382-5060
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F403428-01 (NY)

Record details

NPI number1699350587
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 12, 2021
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Revived Soul Medical Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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