Individual provider · Type 1 NPI

Tiffany R. Jackson, NP

Nurse Practitioner · Hastings, MI

NPI number 1093066086 Active

Practice location

1108 W State St, Suite 3
Hastings, MI 49058-9711

Fax (269) 945-4511

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704240163 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1093066086

Tiffany R. Jackson, NP's National Provider Identifier is 1093066086, issued on Oct 1, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hastings, MI. The record was last updated on Sep 13, 2016.