Tiffany Leah Clack is a Dallas, Texas based nurse practitioner with 14 years of experience in Adult Health. She completed her graduation in 2011. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Tiffany Leah Clack is 765246 for Adult Health in Texas. Her current practice location is 712 N. Washington Ave, Suite 415, Dallas. Patients can reach her at 214-820-9115 or can fax her at 214-820-9135. Tiffany Leah Clack is MSN-ANP with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1376817221. Tiffany Leah Clack can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Tiffany Leah Clack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Tiffany Leah Clack
Specialization:
Adult Health Nurse Practitioner (ANP)
Gender:
Female
Credentials:
MSN-ANP
Experience:
14+ years
Medical School Attended:
Other
Graduation Year:
2011
Accepts Medicare Assignment:
Yes
Practice Address:
712 N. Washington Ave, Suite 415, Dallas, Texas, 75246-1800
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8527229632
Enrollment ID:
I20120417000865
NPI Number:
1376817221
NPI Enumeration Date:
23 Feb, 2012
NPI Last Update On:
30 Mar, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tiffany Leah Clack are as mentioned below.
License Number
Specialization
State
Status
765246
Adult Health
Texas
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Tiffany Leah Clack is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Healthtexas Provider Network (1355254210)
1573
Other Medical Identifiers:
Other legacy medical identifiers associated with Tiffany Leah Clack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
294800201
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Tiffany Leah Clack 712 N Washington Ave, Suite 415 Dallas, Texas
Zip:
75246-1619
Phone Number:
214-820-9115
Fax Number:
214-820-9135
Patients can reach Tiffany Leah Clack at 712 N. Washington Ave, Suite 415, Dallas, Texas or can call to book an appointment on 214-820-9115.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.