Individual provider · Type 1 NPI

Tiffany Michelle Jackson, APRN, AGNP-C

Primary Care Nurse Practitioner · Fayetteville, AR

NPI number 1114385374 Active

Practice location

12 E Appleby Rd, Suite 101
Fayetteville, AR 72703-3901

Fax (479) 463-4499

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XA004646 (AR)

Primary Care Nurse Practitioner: Definition to come...

16 other providers at this address

Other primary care nurse practitioner providers in Fayetteville

See all in Fayetteville →

About NPI 1114385374

Tiffany Michelle Jackson, APRN, AGNP-C's National Provider Identifier is 1114385374, issued on Feb 3, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fayetteville, AR. The record was last updated on Aug 5, 2016.