Provider Demographics
NPI:1770364531
Name:WASHINGTON, TIFFANY (DNP, APRN, PMHNP)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4660 PORTOFINO WAY APT 303
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-8184
Mailing Address - Country:US
Mailing Address - Phone:561-236-4316
Mailing Address - Fax:
Practice Address - Street 1:600 SANDTREE DR STE 203C
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-1500
Practice Address - Country:US
Practice Address - Phone:561-493-3212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11028690363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily