Individual provider · Type 1 NPI
Mary Tiffany Jackson, FNP
Nurse Practitioner · Lynchburg, VA
Practice location
1300 Enterprise Dr
Lynchburg, VA 24502-5746
Mailing address
4110 Ball Park Loop
Halifax, VA 24558-2222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 0024195024 (VA) |
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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- Carolyn K. Harris, NPNurse Practitioner Lynchburg, VA NPI 1083697262
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- Kara LambNurse Practitioner Lynchburg, VA NPI 1205478633
About NPI 1811864655
Mary Tiffany Jackson, FNP's National Provider Identifier is 1811864655, issued on Oct 17, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lynchburg, VA. The record was last updated on Jan 28, 2026.