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

Tiffany Jackson, FNP-C

Individual provider Nurse Practitioner · NPI 1124410022

Tiffany Jackson, FNP-C is a Nurse Practitioner in Pearl, Mississippi. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2015
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

404 Riverwind Dr Ste B-1
Pearl, MS 39208-5900
Phone: (601) 623-9245
Fax: (601) 623-9246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F0115051 (MS)

Record details

NPI number1124410022
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 2, 2015
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021
Mailing addressPo Box 495, Jackson, MS 39205-0495

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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