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

Mrs. Tiffany Renae Jackson, FNP

Individual provider Family Nurse Practitioner · NPI 1811470768

Mrs. Tiffany Renae Jackson, FNP is a Family Nurse Practitioner in Charlotte, North Carolina. Works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
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

10515 Mallard Creek Rd
Charlotte, NC 28262
Phone: (704) 547-9739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10515 Mallard Creek Rd, Charlotte, NC 28262 — (704) 547-9739
  • 14130 Shaw Dr, Huntersville, NC 28078-0625 — (704) 301-6353

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5011180 (NC)

Record details

NPI number1811470768
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 6, 2018
Last updated in NPPESNovember 14, 2018

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