Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY MICHELLE JACKSON, FNP-C
ActiveTIFFANY MICHELLE JACKSON, FNP-C is a Family Nurse Practitioner healthcare provider located in LAUREL FORK, Virginia. NPI 1073161642 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · LAUREL FORK, VA
Registration Details
- NPI Number
- 1073161642
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 27, 2019 (6.9333071661955 yrs)
- Last Updated
- Sep 30, 2025
- Licenses
-
0001197595 (VA)0024178133 (VA)
Practice Information
- Address
-
14558 DANVILLE PIKELAUREL FORK, VA, 243523982Browse VA providers · Browse ZIP 24352
- Phone
- 2763982292
- Fax
- 2763983331
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in LAUREL FORK, VA
| Name | Credential | NPI |
|---|---|---|
| DINAH P PERDUE | FNP | 1497198196 |
| DONNA GIBSON | FNP | 1235520388 |
| MR. WALTER CURTIS HODGES JR. | DNP, FNP-C | 1083237432 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.