Tiffany Michelle Jackson, FNP-C
NPI #1073161642 in Laurel Fork, Virginia
Provider Information
- NPI Number
- 1073161642
- Entity Type
- Individual
- Name
- Tiffany Michelle Jackson, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Aug 27, 2019
- Last Updated
- Sep 30, 2025
Practice Location
- Address
- 14558 DANVILLE PIKE
- City
- Laurel Fork
- State
- Virginia
- ZIP Code
- 24352-3982
- Phone
- (276) 398-2292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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