NPI age
14 years
Enumerated 2012-02-23
● Active
Type 1 · Individual
Tiffany Leah Clack, MSN-ANP
Clack is 1 of 160 nurse practitioner providers in Dallas and 1 of 1243 in Texas.
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-03-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1243 active nurse practitioner providers in Texas.
NPI age
14 years
↑ 3 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
39% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-02Enumerated in NPPES
2012
2026
Where they practice
Practice location
712 N. Washington Ave, Suite 415
Dallas, TX 752461800
Mailing address
712 N Washington Ave, Suite 415
Dallas, TX 752461619
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 294800201 |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Provyx · Custom healthcare lists
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.