NPI 1003158015

Tiffany Michelle Jackson, LPN

Practitioner Licensed Practical Nurse Greenville, SC

Practice location

Address: 100 Blassingame Rd, Greenville, SC 29605-3304
Phone: (864) 355-3100

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence P29859 (SC)

Other Licensed Practical Nurse providers in South Carolina →

Registry record

NPI: 1003158015
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2013
Record last updated: 18 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.