Jackson, Tiffany Michelle
Jackson, Tiffany Michelle is an individual health care provider with primary practice located at 12 E Appleby Rd Suite 101, Fayetteville AR 72703-3901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Jackson, Tiffany Michelle can be contacted via phone (479) 463-4444.Contact Information
Primary practice address
12 E Appleby Rd Suite 101
Fayetteville AR 72703-3901
Phone: (479) 463-4444
Fax: (479) 463-4499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | A004646 | Arkansas |
Profile Details
| NPI number | 1114385374 |
|---|---|
| LBN Legal business name | Jackson, Tiffany Michelle |
| Credentials | APRN, AGNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2016 |
| Last updated | Aug 5th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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