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

Tiffany McKennon

Individual provider Nurse's Aide · NPI 1720509755

Tiffany McKennon is a Nurse's Aide in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
6

Practice location Address checks out

11039 Colonial Tavern Ln
Jacksonville, FL 32221-2123
Phone: (904) 450-1430
Show map & directions

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

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X (FL)
Nurse's Aide Taxonomy 376K00000X
Home Health Agency Taxonomy 251E00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Clinical Medical Laboratory Taxonomy 291U00000X · Licence 10D2254281 (FL)
Homemaker Taxonomy 376J00000X

Record details

NPI number1720509755
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 29, 2017
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022

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