Tiffani Dickerson, Rn-IBCLC
Registered Nurse, Lactation Consultant in Desoto, TX. Individual provider (NPI-1).
NPI number1871127514
StatusActive
Last updated in NPPESNov 19, 2025
Details
- NPI
- 1871127514
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tiffani Dickerson
- Credential
- Rn-IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2020
- Certification date
- Nov 19, 2025
- Last updated
- Nov 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WL0100X | Registered Nurse, Lactation Consultant | 764609 | TX | Yes |
| 374J00000X | Doula | – | – |
Other names
- Tiffani Roque (Former Name)
Practice location
1636 N Hampton Rd Ste 227Desoto, TX 75115-8601
Phone 972-765-8195
Mailing address
1636 N Hampton Rd Ste 227Desoto, TX 75115-8601
Phone 972-765-8195
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