Individual provider · Type 1 NPI

Tiffany Jackson, FNP-C

Nurse Practitioner · Pearl, MS

NPI number 1124410022 Active

Practice location

404 Riverwind Dr Ste B-1
Pearl, MS 39208-5900

Fax (601) 623-9246

Mailing address

PO Box 495
Jackson, MS 39205-0495

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF0115051 (MS)

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 1124410022

Tiffany Jackson, FNP-C's National Provider Identifier is 1124410022, issued on Mar 2, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pearl, MS. The record was last updated on Apr 19, 2021.