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1114385374
TIFFANY MICHELLE JACKSON
FAYETTEVILLE, AR
NPI
1114385374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: AR A004646)
Enumeration Date
2016-02-03
Last Update Date
2016-08-05
Business Address
-- TIFFANY MICHELLE JACKSON APRN, AGNP-C
12 E APPLEBY RD SUITE 101
FAYETTEVILLE, AR 72703-3901
Phone number: 479-463-4444
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Mailing Address
-- TIFFANY MICHELLE JACKSON APRN, AGNP-C
12 E APPLEBY RD SUITE 101
FAYETTEVILLE, AR 72703-3901
Phone number: 479-463-4444
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