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

Tiffany Wisdom-Goulbourne

Individual provider Acute Care Nurse Practitioner · NPI 1942041553

Tiffany Wisdom-Goulbourne is a Nurse Practitioner in Lancaster, Pennsylvania. Qualified in 2023, 3 years ago. Practices with The Heart Group of Lancaster General Health, a 62-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2024

Practice location Address checks out

217 Harrisburg Ave
Lancaster, PA 17603-2964
Phone: (717) 544-8300
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP029670 (PA)

Record details

NPI number1942041553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 6, 2024
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Heart Group Of Lancaster General Health — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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