Individual provider · Type 1 NPI

Tiffany Lashun Jackson

Contractor · Valdosta, GA

NPI number 1336781335 Active

Practice location

1718 Northside Dr Apt O3
Valdosta, GA 31602-1558

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1336781335

Tiffany Lashun Jackson's National Provider Identifier is 1336781335, issued on Oct 10, 2019. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Valdosta, GA. The record was last updated on Oct 10, 2019.