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

Tiffany Michelle Jackson, FNP-C

Individual provider Registered Nurse · NPI 1073161642

Tiffany Michelle Jackson, FNP-C is a Nurse Practitioner in Laurel Fork, Virginia. Qualified in 2019, 7 years ago. Practices with Tri Area Community Health, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

14558 Danville Pike
Laurel Fork, VA 24352-3982
Phone: (276) 398-2292
Fax: (276) 398-3331
Show map & directions

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

Additional practice locations (1)

  • 100 Cavs Ln, Hillsville, VA 24343-1669 — (888) 908-4788

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024178133 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001197595 (VA)

Record details

NPI number1073161642
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 27, 2019
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tri Area Community Health — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Laurel Fork