Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tiffany Jackson, MED, CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1942489034

Mrs. Tiffany Jackson, MED, CCC/SLP is a Speech-Language Pathologist in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

100 Monie Ln
Raleigh, NC 27601-1560
Phone: (919) 821-1822
Fax: (919) 821-7779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5174 (NC)

Record details

NPI number1942489034
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , CCC/SLP
Sole proprietorYes
NPI enumeratedOctober 25, 2007
Last updated in NPPESSeptember 30, 2009

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