TIFFANY R JACKSON (NPI# 1477036796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477036796 |
| Entity Type | Individual |
| Full Name | TIFFANY R JACKSON |
| Credential | LVN |
| Practice Address |
990 Marlandwood Rd Temple TX 76502-3365 |
| Mailing Address |
4601 Calle Secoya St. Apt. A Temple TX 76502 |
| Practice Telephone | 2547738830 |
| Mailing Telephone | 2546540502 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 213654 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432875 | Tiffany Jackson | Technician | 712 N Jenison Ave, Lansing, MI 48915-1309 | 2020-03-23 |
| 1336781335 | Tiffany Lashun Jackson | Contractor | 1718 Northside Dr Apt O3, Valdosta, GA 31602-1558 | 2019-10-10 |
| 1073161642 | Tiffany Michelle Jackson | Registered Nurse | 4982 Peppers Ferry Rd, Wytheville, VA 24382-4966 | 2019-08-27 |
| 1245892694 | Tiffany Nicole Jackson | Counselor | 6292 Dyke Rd, Chittenango, NY 13037-9404 | 2019-07-06 |
| 1851875116 | Tiffany Andrea Jackson | Case Manager/Care Coordinator | 1095 Golden Lakes Blvd Apt 913, West Palm Beach, FL 33411-3353 | 2018-09-21 |
| 1992046734 | Tiffany Jackson | Licensed Practical Nurse | 4746 Walford Rd Apt 2, Warrensville Heights, OH 44128-5151 | 2013-03-04 |
| 1871801399 | Tiffany Jan'nelle Jackson | Dentist | 2550 Windmill Ln Ste 145, Henderson, NV 89074-5500 | 2010-09-17 |
| 1619289212 | Tiffany C. Jackson | Massage Therapist | 904 S Main St, Pleasant Grove, UT 84062-3560 | 2010-07-12 |
| 1851613251 | Tiffany Renee Jackson | Contractor | 5533 Litchfield St, Philadelphia, PA 19143-4714 | 2010-02-25 |
| 1942491063 | Tiffany R Jackson | Obstetrics & Gynecology | 7217 Telecom Parkway, Suite 290, Garland, TX 75044 | 2007-08-05 |
| Street Address |
990 MARLANDWOOD RD |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528546132 | Evette Henderson | Registered Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2018-08-06 |
| 1346862612 | Martin Brockhaus | Registered Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2020-05-10 |
| 1912528795 | Rebecca Keala-ka'a Hanrahan | Licensed Practical Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2020-05-02 |
| 1801426044 | Tanee T Winfree | Registered Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2020-01-15 |
| 1730741703 | Gary W Reimers | Licensed Practical Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2019-07-01 |
| 1356908875 | Monica Collins | Licensed Vocational Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2019-05-20 |
| 1841854320 | Kasondra Jordan | Registered Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2019-04-30 |
| 1063978708 | Ashley Henderson | Clinical Nurse Specialist | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2019-02-19 |
| 1881176816 | Donna Ann Frey | Licensed Vocational Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2018-09-06 |
| 1366924623 | Kourtney Smith | Registered Nurse | 990 Marlandwood Rd, Temple, TX 76502-3365 | 2018-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310007 | Dena Frances Deweese | Licensed Vocational Nurse | 705 Filly Ln, Temple, TX 76504-4951 | 2020-09-15 |
| 1790394013 | Cleo Milagro Lima | Licensed Vocational Nurse | 3101 W Adams Ave Apt 259, Temple, TX 76504-2846 | 2020-07-23 |
| 1902424997 | Brandi Michelle Burnham | Licensed Vocational Nurse | 2818 Inwood Rd, Temple, TX 76502-1317 | 2020-07-07 |
| 1356963425 | Laura Lu Eger | Licensed Vocational Nurse | 1314 N 1st St Apt 1, Temple, TX 76501-2049 | 2020-05-12 |
| 1366078818 | Kelsie Leigh Kaminska | Licensed Vocational Nurse | 5906 Ambrose Cir, Temple, TX 76502-4405 | 2020-03-17 |
| 1881227478 | Karen T Waggy | Licensed Vocational Nurse | 5415 Summerwood Dr, Temple, TX 76502-8802 | 2020-02-21 |
| 1083247829 | Stacey Ann Ross | Licensed Vocational Nurse | 8383 Saddle Brook Dr Unit B, Temple, TX 76502-5668 | 2020-02-20 |
| 1104458835 | Ashton Beatty | Licensed Vocational Nurse | 2123 Carriage House Dr, Temple, TX 76502-5409 | 2020-02-11 |
| 1629617428 | Deidre Jane Carden | Licensed Vocational Nurse | 3222 Camellia Cir, Temple, TX 76502-2732 | 2019-12-27 |
| 1962048777 | Ashley Nicole Tomlin | Licensed Vocational Nurse | 6102 W Adams Ave Ste D, Temple, TX 76502-0007 | 2019-11-27 |
| Find all providers in TEMPLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.