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

Tiffany Fearon

Individual provider Family Nurse Practitioner · NPI 1164846325

Tiffany Fearon is a Nurse Practitioner in Mount Laurel, New Jersey. Qualified in 2013, 13 years ago. Practices with Minuteclinic Diagnostic of New Jersey LLC, a 114-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2014
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Practice location Address checks out

3110 Route 38
Mount Laurel, NJ 08054-9724
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00481400 (NJ)

Record details

NPI number1164846325
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2014
Last updated in NPPESAugust 13, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Minuteclinic Diagnostic Of New Jersey Llc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Laurel