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

Tiffany Wallace

Individual provider Registered Nurse · NPI 1184995268

Tiffany Wallace is a Registered Nurse in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

584 Thomas S Boyland St
Brooklyn, NY 11212-5044
Phone: (917) 804-9969
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 636824 (NY)

Record details

NPI number1184995268
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 20, 2012
Last updated in NPPESJanuary 31, 2015
Mailing address584 Thomas S Boyland St, Brooklyn, NY 11212-5044

Other providers in Brooklyn