Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY LASHUN JACKSON
Active Sole ProprietorTIFFANY LASHUN JACKSON is a Contractor healthcare provider located in VALDOSTA, Georgia. NPI 1336781335 is currently active in the NPPES registry. Verify at CMS.
Contractor · VALDOSTA, GA
Registration Details
- NPI Number
- 1336781335
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2019 (6.8373734326251 yrs)
- Last Updated
- Oct 10, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1718 NORTHSIDE DR APT O3VALDOSTA, GA, 316021558Browse GA providers · Browse ZIP 31602
- Phone
- 9049470932
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in VALDOSTA, GA
| Name | Credential | NPI |
|---|---|---|
| KIERRA BRYANT | — | 1396293429 |
| YOLANDA ROBINSON | — | 1114475241 |
| LATOYONA SPEED | — | 1619425550 |
| TANASHA BLAIR | M. ED | 1750839593 |
| SHONETTE KENDRICK | — | 1821546623 |
| REBECCA DUDLEY | — | 1114475944 |
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.