TIFFANY JAMARICA JACKSON (NPI# 1093229304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093229304 |
| Entity Type | Individual |
| Full Name | TIFFANY JAMARICA JACKSON |
| Credential | RN |
| Practice Address |
323 N Maryland Pkwy Las Vegas NV 89101-3130 |
| Practice Telephone | 7023853330 |
| Practice Fax Number | 7022077155 |
| Mailing Telephone | 7023853330 |
| Mailing Fax Number | 7022077155 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN65676 | NV | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432875 | Tiffany Jackson | Technician | 712 N Jenison Ave, Lansing, MI 48915-1309 | 2020-03-23 |
| 1336781335 | Tiffany Lashun Jackson | Contractor | 1718 Northside Dr Apt O3, Valdosta, GA 31602-1558 | 2019-10-10 |
| 1073161642 | Tiffany Michelle Jackson | Registered Nurse | 4982 Peppers Ferry Rd, Wytheville, VA 24382-4966 | 2019-08-27 |
| 1245892694 | Tiffany Nicole Jackson | Counselor | 6292 Dyke Rd, Chittenango, NY 13037-9404 | 2019-07-06 |
| 1851875116 | Tiffany Andrea Jackson | Case Manager/Care Coordinator | 1095 Golden Lakes Blvd Apt 913, West Palm Beach, FL 33411-3353 | 2018-09-21 |
| 1992046734 | Tiffany Jackson | Licensed Practical Nurse | 4746 Walford Rd Apt 2, Warrensville Heights, OH 44128-5151 | 2013-03-04 |
| 1871801399 | Tiffany Jan'nelle Jackson | Dentist | 2550 Windmill Ln Ste 145, Henderson, NV 89074-5500 | 2010-09-17 |
| 1619289212 | Tiffany C. Jackson | Massage Therapist | 904 S Main St, Pleasant Grove, UT 84062-3560 | 2010-07-12 |
| 1851613251 | Tiffany Renee Jackson | Contractor | 5533 Litchfield St, Philadelphia, PA 19143-4714 | 2010-02-25 |
| 1942491063 | Tiffany R Jackson | Obstetrics & Gynecology | 7217 Telecom Parkway, Suite 290, Garland, TX 75044 | 2007-08-05 |
| Street Address |
323 N MARYLAND PKWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89101-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851574305 | Westcare Nevada Inc | Substance Abuse Rehabilitation Facility | 323 N Maryland Pkwy, Las Vegas, NV 89101-3130 | 2007-12-06 |
| 1952952228 | Anntonette Erika Seeland | Counselor | 323 N Maryland Pkwy, Las Vegas, NV 89101-3130 | 2019-09-26 |
| 1194377812 | Jill Lutz | Counselor | 323 N Maryland Pkwy, Las Vegas, NV 89101-3130 | 2019-07-12 |
| 1609436401 | Elizabeth Ann Kelly | Counselor | 323 N Maryland Pkwy, Las Vegas, NV 89101-3130 | 2019-06-14 |
| 1841850559 | Joseph Thomas Gosser | Counselor | 323 N Maryland Pkwy, Las Vegas, NV 89101-3130 | 2019-06-14 |
| 1790240232 | Elliot Lee Brittain | Case Manager/Care Coordinator | 323 N Maryland Pkwy, Las Vegas, NV 89101-3130 | 2019-02-08 |
| 1932683737 | Marybel Ramos | Counselor | 323 N Maryland Pkwy, Las Vegas, NV 89101-3130 | 2018-09-18 |
| 1558844787 | Jose Florido | Counselor | 323 N Maryland Pkwy, Las Vegas, NV 89101-3130 | 2018-09-13 |
| 1174038319 | Brooklyne Tallene Miller | Technician | 323 N Maryland Pkwy, Las Vegas, NV 89101-3130 | 2017-12-11 |
| 1538673868 | Valerie Venetia Douglas | Licensed Practical Nurse | 323 N Maryland Pkwy, Las Vegas, NV 89101-3130 | 2017-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671290 | Nadhc At The Acsc, Inc. | Respite Care | 330 N. 13th Street, Las Vegas, NV 89101 | 2019-10-23 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1598311862 | Catalina Ruiz-perez | Technician | 1420 James St., L, Las Vegas, NV 89101 | 2019-08-13 |
| 1053880831 | Samantha Okumura | Specialist/Technologist | 701 E Bridger Ave Ste 150, Las Vegas, NV 89101 | 2018-11-21 |
| 1447752860 | Ratref T Havlin | Technician | 1820 East Bonanza Apt 1, Las Veges, NV 89101 | 2018-03-01 |
| 1396255808 | David Markus Stevens | Technician/Technologist | 930 N. 4th Street, Las Vegas, NV 89101 | 2017-10-10 |
| 1447789888 | Dustin Douglas | Driver | 50 N 21 St #139, Las Vegas, NV 89101 | 2017-06-08 |
| 1013389535 | Direct Scripts Mail, LLC | Pharmacy | 71 N Pecos Road, Suite 104, Las Vegas, NV 89101 | 2015-10-23 |
| 1699169920 | Westcare Nevada Inc | Community/Behavioral Health | 323 N Maryland Parkway, Las Vegas, NV 89101 | 2015-03-25 |
| 1639574262 | Misty Davis | Registered Nurse | 930 N. 4th St., Las Vegas, NV 89101 | 2014-10-24 |
| Find all providers in zip 89101 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831602325 | Edina Boros | Registered Nurse | 4370 S Grand Canyon Dr Apt 1100, Las Vegas, NV 89147-7114 | 2017-11-07 |
| 1235668518 | Merle Ambray Go | Registered Nurse | 1055 E Flamingo Rd, Apt 224, Las Vegas, NV 89119 | 2017-06-08 |
| 1023544301 | Kellie Marsh | Registered Nurse | 7604 Cruz Bay Ct, Las Vegas, NV 89128-7282 | 2017-05-05 |
| 1730615097 | Erica Zara | Registered Nurse | 2555 Red Springs Dr, Las Vegas, NV 89135-1512 | 2017-05-05 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| 1750767695 | Linda Busell | Registered Nurse | 2508 Living Rock St, Las Vegas, NV 89106-1464 | 2015-08-03 |
| 1366831224 | Arthur Kime | Registered Nurse | 3940 Copper Glen St, Las Vegas, NV 89129-7875 | 2015-01-15 |
| 1225335888 | R.u.s.h. Organization | Registered Nurse | 6212 Camino De Rosa, Las Vegas, NV 89108 | 2011-02-17 |
| 1801062567 | Frances Boddie-small | Registered Nurse | 1785 E Sahara Ave Ste 145, Las Vegas, NV 89104-3713 | 2008-05-02 |
| 1033220355 | Marcia Hyatt Evans | Registered Nurse | 912 W Owens Ave, Las Vegas, NV 89106-2516 | 2006-08-31 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on TIFFANY JAMARICA JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.