TIFFANY LASHUN JACKSON
NPI 1336781335
Contractor in Valdosta, GA

Active since October 10, 2019
1718 NORTHSIDE DR APT O3, VALDOSTA, GA 31602(904) 947-0932 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tiffany Lashun Jackson NPPES

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

TIFFANY LASHUN JACKSON (NPI 1336781335) is an individual contractor provider in Valdosta, Georgia and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1336781335
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameTIFFANY LASHUN JACKSON
Location Address1718 NORTHSIDE DR APT O3Valdosta, GA 31602-1558
Mailing Address1718 Northside Dr Apt O3Valdosta, GA 31602-1558 · (904) 947-0932
Sole ProprietorYes
Enumeration DateOctober 10, 2019
NPI 1336781335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
1718 NORTHSIDE DR APT O3, Valdosta, GA 31602

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 Jackson's NPI number?

The NPI number for Tiffany Jackson is 1336781335. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Tiffany Jackson located?

Tiffany Jackson practices at 1718 Northside Dr Apt O3, Valdosta, GA 31602. The listed phone number is (904) 947-0932.

What is Tiffany Jackson's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Tiffany Jackson was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.