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TIFFANY JACK HIS
NPI 1114352630
Hearing Instrument Specialist in Lady Lake, FL

Active since September 04, 2013
1130 BICHARA BLVD, LADY LAKE, FL 32159(352) 750-4327(352) 750-2410 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2021, Jun 15, 2016 (2 updates tracked since 2016).

About Tiffany Jack His NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY JACK HIS (NPI 1114352630) is an individual hearing instrument specialist in Lady Lake, Florida, licensed in Florida (AS4900) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1114352630
Entity TypeIndividualFemale
Primary Taxonomy237700000X
Provider Legal NameTIFFANY JACKCredential: HIS
Location Address1130 BICHARA BLVDLady Lake, FL 32159-7716
Mailing Address750 N Commons Dr Ste 200Aurora, IL 60504-7940 · (630) 303-5380 · Fax (630) 303-5385
Phone(352) 750-4327
Fax(352) 750-2410
Sole ProprietorNo
Enumeration DateSeptember 4, 2013
Last NPPES UpdateMay 13, 20212 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
✔ NPI 1114352630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHearing Instrument SpecialistSpeech, Language and Hearing Service Providers
Taxonomy Code237700000X
License✔ Licensed in FL · AS4900
Definition

Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

1130 BICHARA BLVD, Lady Lake, FL 32159
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN L MESSMER AU.D.
Audiologist
1130 BICHARA BLVD
LADY LAKE, FL 32159
Lake County (352) 750-4327
DR. MEGAN LEIGH STOUT AU.D.
Audiologist
1130 BICHARA BLVD
LADY LAKE, FL 32159
Lake County (352) 750-4327
JORDYN MCKEE
Hearing Instrument Specialist
1130 BICHARA BLVD
LADY LAKE, FL 32159
Lake County (352) 750-4327
CONNECT HEARING, INC.
Hearing Aid Equipment
1130 BICHARA BLVD
LADY LAKE, FL 32159
Lake County (352) 750-4327

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Jack's NPI number?

The NPI number for Tiffany Jack is 1114352630. It was assigned to this individual provider in the NPPES registry on September 4, 2013.

Where is Tiffany Jack located?

Tiffany Jack practices at 1130 Bichara Blvd, Lady Lake, FL 32159. The listed phone number is (352) 750-4327.

What is Tiffany Jack's specialty?

The primary specialty registered for this NPI is Hearing Instrument Specialist with taxonomy code 237700000X.

When was this NPI record last updated?

The NPPES record for Tiffany Jack was last updated on May 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.