TIFFANY DOUGLAS
NPI 1629448964
Clinic/Center in Boston, MA
- Organization
- Clinic/Center
About TIFFANY DOUGLAS
This page provides the complete NPI Profile along with additional information for Tiffany Douglas, a provider established in Boston, Massachusetts operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1629448964 assigned on September 2015. The practitioner's primary taxonomy code is 261Q00000X with license number RN2299504 (MA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Tiffany Douglas (Fnp/ Primary Care Provider)
- NPI
- 1629448964 Verify this NPI
- Provider Name
- TIFFANY DOUGLAS
- Entity Type
- Organization
- Location Address
- 1 SOLDIERS FIELD PARK APT 501 BOSTON, MA 02163
- Location Phone
- (864) 423-3561
- Mailing Address
- 1 SOLDIERS FIELD PARK APT 501 BOSTON, MA 02163
- Mailing Phone
- (864) 423-3561
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-29-2015
- Last Update Date
- 09-29-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- RN2299504
- License State
- MA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Reviews for TIFFANY DOUGLAS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629448964, enumerated as an "organization" on September 29, 2015.
The provider is located at 1 SOLDIERS FIELD PARK APT 501 BOSTON, MA 02163 and the phone number is (864) 423-3561.
Clinic/Center with taxonomy code 261Q00000X.