TIFFANY LASHUN JACKSON


Address: 1718 Northside Dr Apt O3, Valdosta, GA 31602-1558
Phone: 9049470932

TIFFANY LASHUN JACKSON (NPI# 1336781335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336781335
Entity Type Individual
Full Name TIFFANY LASHUN JACKSON
Practice Address 1718 Northside Dr Apt O3
Valdosta
GA 31602-1558
Practice Telephone 9049470932
Mailing Telephone 9049470932
Enumeration Date 2019-10-10
Last Update Date 2019-10-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor Other Service Providers

Other Providers TIFFANY JACKSON

NPI Name Taxonomy Address Enumeration
1902432875 Tiffany Jackson Technician 712 N Jenison Ave, Lansing, MI 48915-1309 2020-03-23
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
1952501553 Tiffany Hope Jackson Counselor 14811 Sabine Dr, La Mirada, CA 90638-2144 2007-07-20

Office Location

Street Address 1718 NORTHSIDE DR APT O3
City VALDOSTA
State GA
Zip Code 31602-1558

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477198117 Amber Michele Baugh Behavior Technician 2236 Bemiss Road, Valdosta, GA 31602 2019-11-15
1528611365 Nishaben T. Patel Nurse Practitioner 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 2019-07-22
1427615871 Blair Elizabeth Tomlinson Nurse Practitioner 2124 Lakeshore Drive, Valdosta, GA 31602 2019-05-21
1346704152 Mildred Itaska Borowski Counselor 3790 North Highway 41, Suite A, Valdosta, GA 31602 2019-01-25
1962991703 Southern Healthcare Alliance, LLC Physical Medicine & Rehabilitation 101-f W. Northside Drive, Valdosta, GA 31602 2018-05-08
1336636646 Kaitlyn Thrift Behavioral Analyst 2225 Bemiss Road Suite D, Valdosta, GA 31602 2018-04-23
1407379845 Lindsey Marie Richardson Dentist 103 W. Cranford Ave, Valdosta, GA 31602 2017-07-18
1962922427 Taylor Nicole Fiveash Nurse Practitioner 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 2017-06-26
1720520646 Southern Sleepers Anesthesia LLC Nurse Anesthetist, Certified Registered 4120-b N. Valdosta Road, Valdosta, GA 31602 2016-11-09
1134670557 Cataract and Laser Surgery Center of South Georgia, P.C. Clinic/Center 4120-b N. Valdosta Rd., Valdosta, GA 31602 2016-10-20
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285232777 Khrystal Wright Contractor 4016 Foxborough Blvd, Valdosta, GA 31602-6726 2020-10-15
1841806841 Ashley De Plato Contractor 3813 Robin Ln, Valdosta, GA 31605-5124 2020-09-16
1609411669 Annetta Cunningham Contractor 2700 Clayton Dr, Valdosta, GA 31602-7206 2019-11-14
1497398143 John Hugh Lindsey Contractor 109 S Patterson St, Valdosta, GA 31601-5608 2019-10-25
1245872290 Lisa Elaine Brady Contractor 743 E Ann St, Valdosta, GA 31601-4114 2019-10-10
1477103711 Miriam Denise Alexander Contractor 1107 Timber Line Dr, Valdosta, GA 31602-3730 2019-09-18
1609423078 Margaret Denise Cummings Contractor 910 Lakeland Ave, Valdosta, GA 31602-1906 2019-08-21
1821641432 Shantel Latrell Hogan Contractor 1339 Partridge Pl, Valdosta, GA 31601-6227 2019-07-23
1750844015 Donald Kenneth Williams Contractor 2423 Lochwood Dr, Valdosta, GA 31601-8515 2019-04-12
1386107738 Anna Wolford Contractor 4163 Hamilton Cir, Valdosta, GA 31605-4862 2019-04-11
Find all providers in VALDOSTA

Competitor

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City VALDOSTA
Zip Code 31602

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Dataset Information

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.

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