TIFFANY MCKENNON
NPI 1720509755
Home Health Aide in Jacksonville, FL

Q: What is Tiffany Mckennon's NPI number?

The NPI number for Tiffany Mckennon is 1720509755. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Q: What is Tiffany Mckennon's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Mckennon was last updated on March 28, 2022. 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 June 29, 2017

11039 COLONIAL TAVERN LN, JACKSONVILLE, FL 32221(904) 450-1430 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2021, Sep 10, 2020, Oct 4, 2019 and 1 more (4 updates tracked since 2017).

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About Tiffany Mckennon NPPES

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

TIFFANY MCKENNON (NPI 1720509755) is an individual home health aide in Jacksonville, Florida and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1720509755

Entity TypeIndividualFemale

Primary Taxonomy374U00000X

Provider Legal NameTIFFANY MCKENNON

Location Address11039 COLONIAL TAVERN LNJacksonville, FL 32221-2123

Mailing Address11039 Colonial Tavern LnJacksonville, FL 32221-2123 · (904) 450-1430

Phone(904) 450-1430

Sole ProprietorYes

Enumeration DateJune 29, 2017

Last NPPES UpdateMarch 28, 20224 updates tracked since enumeration

NPPES CertifiedMarch 28, 2022

✔ NPI 1720509755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

Also ListedHome HealthTaxonomy 251E00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 10D2254281 (FL)

Also ListedHomemakerTaxonomy 376J00000X

Also ListedNurse's AideTaxonomy 376K00000X

11039 COLONIAL TAVERN LN, Jacksonville, FL 32221

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Other Providers at the Same Location NPPES

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

TIFFANY'S HOMEMAKER AND COMPANION

In Home Supportive Care

11039 COLONIAL TAVERN LN
JACKSONVILLE, FL 32221

Duval County (904) 450-1430

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 Mckennon's NPI number?

The NPI number for Tiffany Mckennon is 1720509755. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Tiffany Mckennon located?

Tiffany Mckennon practices at 11039 Colonial Tavern Ln, Jacksonville, FL 32221. The listed phone number is (904) 450-1430.

What is Tiffany Mckennon's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Tiffany Mckennon was last updated on March 28, 2022. 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.