TIFFANY JACKSON, APRN, AGNP-C

Primary Care Nurse Practitioner · FAYETTEVILLE, AR

Individual Active NPI 1114385374

Medicare payment data Part B · 2023

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2023	49	63	$9,779	$4,028	$2,217
2022	269	468	$74,904	$24,765	$18,581

Taxonomy & licensure

Specialty	Code	Primary	License	State
Primary Care Nurse Practitioner	363LP2300X	✓	A004646	AR

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: No

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See all Primary Care Nurse Practitioner providers in Arkansas →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.