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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIFFANY MICHELLE JACKSON, APRN, AGNP-C

Active

TIFFANY MICHELLE JACKSON, APRN, AGNP-C is a Primary Care Nurse Practitioner healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1114385374 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · FAYETTEVILLE, AR

Registration Details

NPI Number
1114385374
Provider Type
Individual
Gender
Female
NPI Issued
Feb 3, 2016 (10.484655528753 yrs)
Last Updated
Aug 5, 2016
License
A004646 (AR)

Practice Information

Address
12 E APPLEBY RD
SUITE 101
FAYETTEVILLE, AR, 727033901
Browse AR providers · Browse ZIP 72703
Phone
4794634444
Fax
4794634499
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in FAYETTEVILLE, AR

Name Credential NPI
JENNIFER OXFORD APRN 1114300100
LINZY MICHELE ELLIOTT APRN 1871195180
JUSTIN GOUCHER APRN 1881356368
JONATHAN BECKHAM FNP-C 1255144978
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.