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

Tiffany Douglas

Individual provider Nurse Practitioner · NPI 1588035018

Tiffany Douglas is a Nurse Practitioner in New York, New York. Works from 3 locations. Licensed in Florida, Georgia, Massachusetts and North Carolina and 1 more.

Licensed in
FL, GA, MA, NC, SC
In the registry since
2015
Specialties on file
5
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Practice location Address checks out

75 Varick St Fl 5
New York, NY 10013-1917
Phone: (855) 961-1942
Fax: (866) 702-0882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Soldiers Field Park, Boston, MA 02163-1722 — (864) 423-3561
  • 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 — (864) 620-1741

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11034085 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 5012697 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN270965 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 26784 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN2299504 (MA)

Record details

NPI number1588035018
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2015
Last updated in NPPESFebruary 7, 2026
Certification dateFebruary 7, 2026

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