Tiffany Leah Clack, MSN-ANP

Nurse practitioner in Dallas, Texas · NPI 1376817221

Tiffany Clack is one of 1,896 nurse practitioners practicing in Dallas, Texas. Tiffany Clack practices with Healthtexas Provider Network and Legacy Healthcare Services Inc.

Registry record (NPPES)

NPI
1376817221
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Address on file
712 N. Washington Ave
Dallas, TX 75246-1800
(214) 820-9115
Enumerated
Feb 23, 2012
Record last updated
Mar 30, 2022
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.