Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlene Tiffany Wang, MD

Individual provider Pediatrics Physician · NPI 1225775638

Charlene Tiffany Wang, MD is a Pediatrics Physician in Jackson, Mississippi. Licensed in California, Guam and Mississippi. Registered with an NPI since 2022.

Licensed in
CA, GU, MS
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 37264 (MS)
Pediatrics Physician Taxonomy 208000000X · Licence 194908 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence MTL-2026-014 (GU)

Record details

NPI number1225775638
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2022
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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