Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TIFFANY LATESE STACKENS
ActiveNutrition, Education · JACKSON, TN
Registration Details
- NPI Number
- 1598985491
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2007 (19.027491362915 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
804 N PARKWAYJACKSON, TN, 383053058Browse TN providers · Browse ZIP 38305
- Phone
- 7314233020
- Primary Specialty
-
Nutrition, Education
133NN1002X
Other Nutrition, Education Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. PATRICIA DAWN LOWERY | B.S., CLC | 1326268228 |
| LEANNE SIMPSON MONTGOMERY | — | 1902041320 |
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.