Tiffany Jackson NP

NPI 1093066086 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1093066086
Gender Female
Enumeration Date 10/01/2012
Last Updated 10/01/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
719 CAPITAL AVE SW
BATTLE CREEK MI, 49015-5023, US
Phone (269) 969-6060
Fax (269) 965-7710
Business Location
719 CAPITAL AVE SW
BATTLE CREEK MI, 49015-5023, US
Phone (269) 969-6060
Fax (269) 965-7710
Toxanomy
Taxonomy Code 363L00000X
License State Michigan
License Number 4704240163
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According to our database, Mrs. Tiffany Jackson NP NPI is 1093066086, taxonomy code is 363L00000X and license number is 4704240163, license state is located at Michigan. Tiffany Jackson NP physically located at 719 Capital Ave Sw, Battle Creek MI, 49015-5023. NPI Number Tiffany Jackson NP has the Individual type.

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1093066086 NPI number is provided on an as is basis without warranty of any kind. 1093066086 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Jackson NP are for informational purposes only.