Jackson, Tiffany Michelle

Jackson, Tiffany Michelle is an individual health care provider with primary practice located at 12 E Appleby Rd Suite 101, Fayetteville AR 72703-3901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Jackson, Tiffany Michelle can be contacted via phone (479) 463-4444.

Contact Information

Primary practice address
12 E Appleby Rd Suite 101 Fayetteville AR 72703-3901
Phone: (479) 463-4444
Fax: (479) 463-4499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X A004646 Arkansas

Profile Details

NPI number 1114385374
LBN Legal business name Jackson, Tiffany Michelle
Credentials APRN, AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2016
Last updated Aug 5th, 2016 - about 8 years ago

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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