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Tiffany Leah Clack, MSN-ANP
Adult Health Nurse Practitioner in Dallas, Texas
NPI 1376817221

Tiffany Leah Clack is an Adult Health Nurse Practitioner based in Dallas, TX and is specialized in Adult Health. Tiffany Leah Clack practices in Dallas, TX and has the professional credentials of MSN-ANP. The NPI Number for Tiffany Leah Clack is 1376817221 and holds a License No. 765246 (Texas).

The current practice location address for Tiffany Leah Clack is 712 N. Washington Ave, Dallas, TX and can be reached out via phone at 214-820-9115 and via fax at 214-820-9135.

Location: 712 N. Washington Ave, Dallas, TX, 75246-1619
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Provider Profile Details
NPI Number
1376817221
Provider Name
Tiffany Leah Clack
Credential
MSN-ANP
Provider Entity Type
Individual
Gender
Female
Address
712 N. Washington Ave, Dallas, TX, 75246-1619
Phone Number
214-820-9115
Fax Number
214-820-9135
Provider Enumeration Date
02/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
294800201 05 TX
institution
Provider Business Practice Location Address Details
Address
712 N. Washington Ave
City
State
Zip
75246-1800
Phone Number
214-820-9115
Fax Number
214-820-9135
person
Provider Business Mailing Address Details
Address
712 N. Washington Ave
City
State
Zip
75246-1800
Phone Number
214-820-9115
Fax Number
214-820-9135
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
765246 (Texas)
Definition
Definition to come...
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