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

Mary Tiffany Jackson, FNP

Individual provider Nurse Practitioner · NPI 1811864655

Mary Tiffany Jackson, FNP is a Nurse Practitioner in Lynchburg, Virginia. Qualified in 2025, 1 year ago. Practices with Universal Health Corporation, a 122-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1300 Enterprise Dr
Lynchburg, VA 24502-5746
Phone: (434) 845-6045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024195024 (VA)

Record details

NPI number1811864655
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 17, 2025
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Universal Health Corporation — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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