Individual provider · Type 1 NPI
Tiffany Jackson, FNP-C
Family Nurse Practitioner · Charlotte, NC
NPI number
1720334725
Active
Practice location
7845 Little Ave
Charlotte, NC 28226-8198
Fax (704) 335-3592
Mailing address
PO Box 470408
Charlotte, NC 28247-0408
Other practice locations
- 1061 Red Ventures Dr Ste 130, Fort Mill, SC 29707-2516 · (704) 375-0100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21482 (SC) |
| Family Nurse Practitioner Primary | 363LF0000X | 5010526 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720334725
Tiffany Jackson, FNP-C's National Provider Identifier is 1720334725, issued on Jul 27, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 1, 2025.