Tiffany Jackson
NPI 1124762794 · Registered Nurse · Southaven, MS
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tiffany Jackson is a Registered Nurse provider in Southaven, MS (NPI 1124762794).
Provider details
- NPI number
- 1124762794
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 917293 (MS)
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-20
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Frequently asked questions
- What is Tiffany Jackson's NPI number?
- Tiffany Jackson's National Provider Identifier (NPI) is 1124762794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiffany Jackson's specialty?
- Tiffany Jackson is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Tiffany Jackson located?
- Tiffany Jackson's practice location on file with NPPES is 5875 Landau Dr, Southaven, MS 38671-8946.
- What is Tiffany Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tiffany Jackson is (870) 821-1234.
- Does Tiffany Jackson accept Medicare?
- Tiffany Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tiffany Jackson's NPI active?
- Yes — Tiffany Jackson's NPI (1124762794) is active in the NPPES registry as of the last update on 2022-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.