Jackson, Tiffany Michelle

Jackson, Tiffany Michelle is an individual health care provider with primary practice located at 600 Randolph St , Radford VA 24141-2428. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackson, Tiffany Michelle can be contacted via phone (540) 639-5300.

Contact Information

Primary practice address
600 Randolph St Radford VA 24141-2428
Phone: (540) 639-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001197595 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024178133 Virginia

Profile Details

NPI number 1073161642
LBN Legal business name Jackson, Tiffany Michelle
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2019
Last updated Sep 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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