TINA JEFFERSON FNP-C
NPI 1619644564
Nurse Practitioner - Family in Millington, TN

Q: What is Tina Jefferson's NPI number?

The NPI number for Tina Jefferson is 1619644564. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Q: What is Tina Jefferson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Jefferson was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 27, 2021

5017 BUBBLING CREEK LN APT 202, MILLINGTON, TN 38053(901) 230-7865 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tina Jefferson Fnp-c NPPES

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

TINA JEFFERSON FNP-C (NPI 1619644564) is an individual family provider in Millington, Tennessee, licensed in Tennessee (29406) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1619644564

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTINA JEFFERSONCredential: FNP-C

Location Address5017 BUBBLING CREEK LN APT 202Millington, TN 38053-4469

Mailing Address5017 Bubbling Creek Ln Apt 202Millington, TN 38053-4469 · (901) 230-7865

Phone(901) 230-7865

Sole ProprietorNo

Enumeration DateAugust 27, 2021

NPPES CertifiedAugust 27, 2021

✔ NPI 1619644564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 29406

5017 BUBBLING CREEK LN APT 202, Millington, TN 38053

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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 Tina Jefferson's NPI number?

The NPI number for Tina Jefferson is 1619644564. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Tina Jefferson located?

Tina Jefferson practices at 5017 Bubbling Creek Ln Apt 202, Millington, TN 38053. The listed phone number is (901) 230-7865.

What is Tina Jefferson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tina Jefferson was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.