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

Individual provider Contractor · NPI 1336781335

Tiffany Lashun Jackson is a Contractor in Valdosta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

1718 Northside Dr Apt O3
Valdosta, GA 31602-1558
Phone: (904) 947-0932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1336781335
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 10, 2019
Last updated in NPPESOctober 10, 2019
Mailing address1718 Northside Dr Apt O3, Valdosta, GA 31602-1558

Other providers in Valdosta