TIFFANY JACKSON
Registered Nurse
Active
Individual
NPI: 1124762794
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | Yes | 917293 (MS) |
Frequently Asked Questions
NPI 1124762794 is the National Provider Identifier for TIFFANY JACKSON, a Registered Nurse provider located in Southaven, MS. This NPI was enumerated on April 20, 2022.
TIFFANY JACKSON practices at 5875 LANDAU DR, Southaven, MS 38671.
Quick Facts
- NPI
- 1124762794
- Type
- Individual
- Enumerated
- Apr 20, 2022
- Last Updated
- Apr 20, 2022
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