Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124410022 Individual Practitioner Female Practitioner

Tiffany Jackson , FNP-C

Nurse Practitioner • Pearl, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tiffany Jackson, FNP-C is a certified Nurse Practitioner practicing in Pearl, MS. With approximately 12 years of clinical experience since completing medical education in 2014, Tiffany Jackson delivers high-quality medical care to the local community at 404 RIVERWIND DR STE B-1.

Tiffany Jackson accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

404 Riverwind Dr Ste B-1

Pearl, MS 392085900

Telephone 6016239245
Fax 6016239246
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Pearl, MS

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +3.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Pearl, MS (1098 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (12 Years) 12 Yrs
Pearl Specialty Average (9.0 Years) 9.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-04-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS F0115051

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
07833786 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Brittney Peyton , FNP-BC

Nurse Practitioner - Family

NPI 1295512457

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 19, 2021

Registered at 404 RIVERWIND DR STE B-1, PEARL, MS 392085900 (Tel: 6016239245)

📍
Updated Business Mailing Address April 19, 2021

Registered at PO BOX 495, JACKSON, MS 392050495 (Tel: 6016239245)

👤
Provider Name / Credentials Updated April 19, 2021

Recorded as TIFFANY JACKSON, FNP-C

NPI Profile Active July 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2016

Registered at 297 HIGHWAY 51 STE B, RIDGELAND, MS 391573423 (Tel: 6017075381)

📍
Updated Business Mailing Address July 12, 2016

Registered at 297 HIGHWAY 51 STE B, RIDGELAND, MS 391573423 (Tel: 6017075381)

👤
Provider Name / Credentials Updated July 12, 2016

Recorded as TIFFANY JACKSON, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2016

Nurse Practitioner (License #F0115051 in MS)

🟢
Initial NPI Registration & Enumeration March 02, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tiffany Jackson. Be the first to share your experience!

Sign in to leave a review for Tiffany Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124410022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2015
Last Update: April 19, 2021
Sole Proprietor: No

Mailing Address

Po Box 495

Jackson, MS 392050495

Phone: 6016239245

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.