TIFFANY GLADYS DIRICKSON-FORD

BOWIE, MD
NPI1306472717
Professional NameTIFFANY FORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: DC  NP500016115)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MD  F0819091)
Enumeration Date2020-03-17
Last Update Date2024-07-31
Business Address
TIFFANY GLADYS DIRICKSON-FORD CRNP
6111 HIGHBRIDGE RD
BOWIE, MD 20720
Phone number: 301-503-1490
Mailing Address
TIFFANY GLADYS DIRICKSON-FORD CRNP
375 RED CLAY RD
LAUREL, MD 20724-2443
Phone number: 443-690-4424