Healthcare Provider Details

I. General information

NPI: 1932487956
Provider Name (Legal Business Name): TIFFINEY SMITH THOMPSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2011
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 FIRST COLONIAL RD STE 403
VIRGINIA BEACH VA
23454-2406
US

IV. Provider business mailing address

1080 FIRST COLONIAL RD STE 403
VIRGINIA BEACH VA
23454-2406
US

V. Phone/Fax

Practice location:
  • Phone: 757-395-1850
  • Fax: 855-707-7855
Mailing address:
  • Phone: 757-395-1850
  • Fax: 855-707-7855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024169409
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: