MS. Tiffany Michelle Jackson, LPN
NPI #1003158015 in Greenville, South Carolina
Provider Information
- NPI Number
- 1003158015
- Entity Type
- Individual
- Name
- MS. Tiffany Michelle Jackson, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Mar 18, 2013
- Last Updated
- Mar 18, 2013
Practice Location
- Address
- 100 BLASSINGAME RD
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29605-3304
- Phone
- (864) 355-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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