Most Relevant Information
Provider Data
| NPI Number: | 1003219429 |
| Provider Name: | TIFFANY YOUNG DUCKETT NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 5007169 |
Most Important Dates
| Enumeration Date: | 09/30/2014 |
| Last Updated: | 05/29/2021 |
Provider Practice Location
8841 SIX FORKS RD
RALEIGH
NC
276152970
Practice Location Phone/Fax
| Phone: | 9842175437 |
| Fax: |
Provider Mailing Location
325 MEETING HOUSE CIR
RALEIGH
NC
276153133
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |