Individual provider · Type 1 NPI
Tiffani Theressa Jackson
Neonatal Nurse Practitioner · Houston, TX
NPI number
1245698505
Active
Practice location
6701 Fannin St
Houston, TX 77030
Mailing address
2 Greenway Plz Ste 300
Houston, TX 77046-0207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | AP130134 (TX) |
| Pediatrics Physician | 208000000X | AP130134 (TX) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1245698505
Tiffani Theressa Jackson's National Provider Identifier is 1245698505, issued on Feb 2, 2016. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Houston, TX. The record was last updated on Jun 11, 2018.