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

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