Tiffany Jackson, APRN, AGNP-C

NPI: 1114385374

Tiffany Jackson, APRN, AGNP-C

Q: What is Tiffany Jackson's NPI number?

Tiffany Jackson's NPI number is 1114385374, a unique 10-digit identifier issued by CMS.

Q: What does Tiffany Jackson specialize in?

Tiffany Jackson specializes in Nurse Practitioner, taxonomy code 363LP2300X.

Q: Where does Tiffany Jackson practice?

Tiffany Jackson practices in Fayetteville, AR 72703-3901.

Q: When was Tiffany Jackson's NPI issued?

Tiffany Jackson's NPI was issued on February 3, 2016.

Q: What is Tiffany Jackson's provider type?

Tiffany Jackson is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderNurse Practitioner

NPI issued: February 3, 2016

Quick Facts

NPI Number

1114385374

TypeIndividual

StatusActive

SpecialtyNurse Practitioner

Taxonomy363LP2300X — Nurse Practitioner

Phone

(479) 463-4444

StateAR

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1114385374)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (February 3, 2016)

Data source: CMS NPPES

Provider Overview

TIFFANY JACKSON, APRN, AGNP-C is a Nurse Practitioner provider based in Fayetteville, AR who has been registered with CMS since 2016. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1114385374

Provider TypeIndividual Provider

GenderFemale

CredentialAPRN, AGNP-C

StatusActive

Enumeration DateFebruary 3, 2016

Practice Location

CityFayetteville

StateAR

ZIP Code72703-3901

Phone(479) 463-4444

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363LP2300X

License StateAR

Mailing Address

CityFayetteville

StateAR

ZIP Code72703-3901

Phone(479) 463-4444

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1114385374 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1114385374for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1114385374 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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